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Eid Mubarak From all of us at AMMAC we wish you a heartfelt Eid Mubarak Our New Board Members NOV, 2013 Table of Contents Medical Updates Pg. 4 President’s Message By: Dr. Kashif S. Ahmed Pg. 3 Two Separate Studies Examine Management of Cryptorchidism Medscape An Uncommon Neurological Presentation Dr. Mohamed Boodhun Pg. 2 Asim Sheikh - Dr. Nadeem Mian - Malik Lal Khan Sb - Dr. Kashif S. Ahmed - Dr. Najam Mian Treasurer – Vice President – Amir Jama’at Canada – President – General Secretary Dr. Qanta Ayesha – Female VP (Not Pictured) Vol. 3 Nov 2013 AMMAC Biannual Pg. 11 Absence Seizure with No cause Dr. Kashif Ahmed Pg. 5 AMMA Dr.Rehman’s Speech Dr. Latif Rehman Pg. 10 AMMAC Member awarded as Gold Girl of MBBS in Andra Pardesh, India Dr. Kashif Ahmed Pg. 14 AMMAC Annual General Body Meeting Recap Pg. 12 AMMA National Retreat – Individual Experience Dr. Najam Mian

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Page 1: Eid Mubarak NOV, 2013ammac.org › newsletters › AMMAC_Newsletter-Fall_2013.pdf · 2014-04-18 · Eid Mubarak From all of us at AMMAC we wish you a heartfelt Eid Mubarak Our New

Eid Mubarak From all of us at AMMAC we

wish you a heartfelt Eid Mubarak

Our New Board Members

NOV, 2013

Table of Contents

Medical Updates

Pg. 4

President’s Message

By: Dr. Kashif S. Ahmed

Pg. 3

Two Separate Studies Examine Management of Cryptorchidism

Medscape

An Uncommon Neurological Presentation Dr. Mohamed Boodhun Pg. 2

Asim Sheikh - Dr. Nadeem Mian - Malik Lal Khan Sb - Dr. Kashif S. Ahmed - Dr. Najam Mian Treasurer – Vice President – Amir Jama’at Canada – President – General Secretary

Dr. Qanta Ayesha – Female VP (Not Pictured)

Vol. 3 Nov 2013 AMMAC Biannual

Pg. 11

Absence Seizure with No cause

Dr. Kashif Ahmed

Pg. 5

AMMA Dr.Rehman’s Speech

Dr. Latif Rehman

Pg. 10

AMMAC Member awarded as Gold Girl of MBBS in Andra Pardesh, India

Dr. Kashif Ahmed

Pg. 14

AMMAC Annual General Body Meeting Recap

Pg. 12

AMMA National Retreat – Individual Experience

Dr. Najam Mian

Page 2: Eid Mubarak NOV, 2013ammac.org › newsletters › AMMAC_Newsletter-Fall_2013.pdf · 2014-04-18 · Eid Mubarak From all of us at AMMAC we wish you a heartfelt Eid Mubarak Our New

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Mr. G.W is from central Newfoundland, 53 years of age and is referred to the Neurology clinic in September of 2012 because of weakness in the left lower extremity for the past few months. He describes occasional cramps in the calf. There is no complaint of weakness or pain in the upper extremities or in the right lower extremity.

The patient denies any other neurological symptoms of dysphagia, visual impairment, word finding difficulties etc.

Pertinent on examination is an obvious weakness of the left lower extremity with an associated foot drop. The patient has weakness of the left iliopsoas, quadriceps, hamstrings, posterior tibialis and anterior tibialis muscles.

Case Report: An Uncommon Neurological Presentation

By: Dr. Mohamed Boodhun

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He walks with a left steppage gait.

Deep tendon reflexes are present and graded as 2+ at the patellar and ankle on the left. On the right the patellar and ankle DTRs are graded as 1+.

Sensory exams of the lower extremities, are normal.

Head CT and an MRI of the low back region are requested and I planned to review him in six weeks.

The head CAT Scan is normal.

The L/S MRI showed a disc herniation at L4-5 with compromise of the exiting L4-5 nerve root on the left.

Continued…

The Holy Prophet (peace and blessings of Allah be on him) emphasized love, sympathy, and kindness towards all. He also emphasized that we must show each other great appreciation. He said, "One who is not

grateful to mankind is not grateful to Allah." (Tirmidhi)

Page 3: Eid Mubarak NOV, 2013ammac.org › newsletters › AMMAC_Newsletter-Fall_2013.pdf · 2014-04-18 · Eid Mubarak From all of us at AMMAC we wish you a heartfelt Eid Mubarak Our New

(Continued)

Two Separate Studies Examine Management

of Cryptorchidism

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A systematic review determines that surgery is an effective treatment of undescended testicles, and a meta-analysis suggests that magnetic resonance imaging lacks sensitivity to detect this condition

Cryptorchidism is the most common male genital abnormality identified at birth, affecting 3% of full-term male infants and 30% of male premature infants. Assessment for the presence and location of the affected testicle is critical in the management of cryptorchidism, and ultrasound imaging is limited in achieving this goal.

Continued …

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When I reviewed him after six weeks in October 2012, he told me that his left lower extremity weakness has worsened and that he is now falling down more frequently.

I informed him of the normal head CT and we discussed the L/S MRI results. I explained to him that the disc herniation at L4-5 did not explain the left hip flexor weakness and the presence of normal deep tendon reflexes in the left lower extremity. The spinal cord looked fine.

At this time I ordered an MRI of the head to investigate for the possibility of a late onset multiple Sclerosis. I also booked him for Nerve Conduction and EMG studies.

I saw him again in November of 2012. The head MRI was normal except for some age scattered ischemic changes. There was no evidence of a late onset demyelinating process.

I then performed NCS and EMG.

NCS of the left lower extremity showed slightly delayed Sural latency. Tibial and Peroneal Nerve responses demonstrated normal distal motor latencies and Amplitudes on the left.

EMG findings were as follows:

Positive sharp waves, fibrillation potentials, reduced recruitment, neuropathic motor units were elicited in the deltoid, first dorsal interosseous, iliopsoas, vastus medialis, tibialis anterior and tibialis posterior on the left.

On the right the same phenomenon was found in the right vastus medialis and right tibialis anterior muscles.

The left mid thoracic paraspinal muscles demonstrated fibrillation potentials.

Impressions:

This patient was diagnosed with Motor Neuron Disease (Lou Gehric Disease) based on the clinical and EMG findings. He did not have any bulbar symptoms. He is now on Rilutek BID.

Full Article available at Medscape using the following link:

http://www.medscape.org/viewarticle/805119

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President’s Message

Dear AMMAC Members, Assalam-o-alikum wa-rehm-at-Allah he wa-barakatahu,

This is our first newsletter since I was elected as President of the association at our last annual general meeting (AGM) on July 7th. It was an honor to serve as general secretary for the past two years and I look forward to serve over the next two as well. As is common for any president, I must refer back to the constitution to remind members of the purpose of AMMA Canada. It states “AMMA is established so that we can all uphold ethical and moral values, engage in social and professional activities, support educational and intellectual pursuits, upgrade medical care and thus glorify our association.”

In order to fulfill our goals we need full member participation as we want the association to be member driven rather than exec driven. This requires ongoing feedback on your part which can be done by email and by responding to our feedback surveys. At our last AGM I had the opportunity to review our progress over the last two years and discuss what we are planning for the future. We also recorded feedback during our open forum and inshAllah they will be implemented. The primary goal is to develop our website more professionally in order to serve and reach our membership more effectively, as many are spread across the country. We have a lot of physicians in Nova Scotia and Saskatchewan who have not been able to attend the AGMs. This involves moving forward with developing an online forum for members to be able to talk amongst each other. Please refer to the AGM summary that is in this newsletter to review our other initiatives and contact me if you would like to get involved.

I would also like to share my experience at the recent US AMMA retreat that was held at a Holiday Inn in Amherst, New York from August 30th to September 1st. Our new general secretary, Najam Mian, and I attended the second day of the three-day event. In this newsletter we’ve included the annual review presented by Dr. Luft Rehman, president of AMMA USA as well as the agenda. MashAllah, you will see that just five years ago their association was in a growing state like ours and over that time they have managed to accomplish a lot. The retreat was very well organized with emphasis on CME, project planning and review, networking, and leisure. One member also gave an excellent presentation about his interest in flying model airplanes. The emphasis was on work-life balance and developing interest in hobbies. We came away with a strong desire to host our own retreat in Canada, inshAllah. Dr. Rehman wanted me to relay the message that all of the Canadian AMMA members are welcome to future retreats, and I highly recommend going.

I want to end by asking for your prayers that I successfully fulfill my duties as your next president. Our vision is to take the association to a level where we are effectively serving our members, members of the jamaat, and members of the world community.

Sincerely,

Dr. Kashif S. Ahmed MD CCFP London ON

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Full Article and CME available at Medscape using the following link:

http://www.medscape.org/viewarticle/805119

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(Continued)

In the current issue of Pediatrics, Krishnaswami and colleagues perform a meta-analysis of the use of magnetic resonance imaging (MRI) in the evaluation of cryptorchidism. In 8 prospective case series, the median sensitivity of MRI in the correct identification of testicles discovered at surgery was only 0.62. The specificity of MRI was 1.0. MRI was worse in detection of intraabdominal testicles (sensitivity, 0.55) vs inguinoscrotal testicles (sensitivity, 0.86).

The management of cryptorchidism, particularly whether a child should receive hormone therapy or surgery, is another vexing issue for clinicians. A systematic review by Penson and colleagues addresses this subject; the main points are included in the Study Highlights section.

Dr. Rehman’s Speech from AMMA Conference USA

By: Dr. Lutf U Rehman

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The history of Ahmadiyyat is more than 125 years old. None of us sitting here was present for that entire time. The works of our ancestors are recorded in the books of Ahmadiyyat. Some of those works were great and some greater and some even legendary. I hope that some of the names I will mention today will become part of this history.

Study of medicine is not just treating the disease, but the person as a whole. This is why when the knowledge of medicine was limited and the physicians did not know the pathology or physiology and when they did not have detailed knowledge of pharmacology, they could still provide comfort to their patients and treat many of their illnesses successfully. Today with the rise of scientific method and with great advances in medical science we have become much better physicians. We can understand a lot in terms of pathology, physiology and pharmacology. We can diagnose the illnesses of our patients much better and treat them with greater confidence. Yet in terms of treating the patient, we have not made similar strides. The rise of alternative medicine in the US, arguably the most advanced nation on this earth is proof of this.

Our religion or Faith teaches us nothing but sympathy of mankind. When religion and medicine combine, I believe we get a perfect combination which can heal the body and soul at the same time. Therefore we see that all Faiths have some form of health services.

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The physicians who are members of these Faiths are called upon by their leaders to provide care for the sick and the needy. We are no different. Ahmadiyya Medical Association was established many decades ago to organize the Ahmadi doctors into a disciplined body of physicians who can then lead in providing healthcare for their communities and impact them positively. MashaAllah Ahmadiyya Medical Associations are established in many countries of the world. The US association is one of the larger ones and has been able to make its impression beyond our borders.

In the long history of providing healthcare needs by Jamaat Ahmadiyya, Tahir Heart Institute holds an elevated position. It was established only a decade ago and in this short time, it has proven that the vision behind it was indeed Divine. The impact of this institution is far beyond the boundaries of the city of Rabwah. It has become a tertiary care center for providing cardiac services, both medical and surgical in a large geographic area. The US physicians can take pride in providing bulk of the money for its construction as well as advice in its setup. Over the last ten years many cardiologists and surgeons have travelled to Rabwah for one or two weeks at a time and helped to create an association and relationship between the Institution and our medical association. I will particularly mention the

Dr. Rehman’s Speech from AMMA Conference USA

By: Dr. Lutf U Rehman

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name of Dr. Khalid Noori sahib, son of General Mahmoodul Hassan Noori sahib, who is a well-known and respected cardiologist. Khalid noori sahib donated three years of his life and established and provided Cardiac Surgery Services at the Tahir Heart. It was the father and son team which worked 14 and 16 hour days and established the quality of service at this institution which has become its hallmark. Buildings do not make an institution but people do: People like the Nooris. The US Ahmadiyya Medical Association has another pair, the two brothers: The

Mumtaz brothers. They are both Cardiac

Surgeons, one adult and the other pediatric.

Mubashir Mumtaz and Muhammad Ali Mumtaz have both visited Tahir heart Institute several times every year for last several years, and provided valuable surgical services. In fact

both brothers were in Rabwah only last month. Then there are many cardiologists who have spent time at the Tahir Heart and provided cardiac services. Among them are Dr. Anwar ud Din, Dr. Afzal ur Rehman, Dr. Muqtada Chaudhry, Dr. Mansoor Qureshi and Dr. Saquib Samee. These cardiologists have visited Tahir Heart many times and brought with them equipment worth hundreds of thousands of dollars. They have performed interventional procedures over there, given

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Dr. Rehman’s Speech from AMMA Conference USA

By: Dr. Lutf U Rehman

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advice to patients and trained the staff, thus helping to improve the standard of care. To support the cardiac surgery services our medical association has provided $100,000 over the last two years.

Tahir Heart initially concentrated on cardiac services only, but now for last several years, there is an effort to provide other specialty services as well. Within the last year Dr. Aamir Malik has visited THI to make an evaluation for Neurosurgery services. Dr. Malik is a neurosurgeon based out of Houston. He believes that in near future it will be possible to establish a basic neurosurgery service at THI which can deal with head injuries as well as brain tumor surgery. Obviously the first step in providing any such services is to have a CT scanner. THI now has a CT scanner, once again funded mostly by the US doctors. There were no qualified Radiologists at the THI who could read the CT scans. Another member of Ahmadiyya Medical Association here in the US came to help. Dr. Amina Tariq, who is a Radiologist is reading studies done at the THI via the internet.

When I was doing my internship in the Mayo Hospital Lahore three decades ago, chronic renal failure was almost a death sentence. If patient was rich and could afford dialysis, he could live for a while, otherwise he was condemned to death. With

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wider availability of dialysis the outcome of this disease has also changed. Within the last year a dialysis center has been established at the THI. One of the dialysis machines was funded by a physician from our association and another nephrologist provided technical help from here to establish a high quality dialysis center. When we talk about dialysis, renal transplant is not far behind. God willing in next few years this is also in the pipeline. If you are a urologist or know an Ahmadi urologist who can perform laparoscopic donor nephrectomy, I invite you to come forward and make a team with me.

Humanity First has been providing services throughout the world for last two decades. US Ahmadi physicians are an important part of Humanity First. Dr. Naeem Lughmani went to Pakistan to help out when the great earthquake struck the northern areas. During Haiti earthquake doctors accompanied HF to provide medical services. Dr. Ahsan Khan regularly goes to Guatemala and is the force behind Gift of Sight Mission. Dr. Iftikhar Ali and his wife, also a physician, have travelled with him on occasion.

For last many decades whenever we talk about

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Dr. Rehman’s Speech from AMMA Conference USA

By: Lutf U Rehman

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providing medical services and help, somehow always Africa comes to mind. Of course our jamaat has the largest medical presence in that continent for the longest time. But lately another opportunity has come up where service and pleasure can be combined. I am talking about the Marshall Islands. Marshall Island responsibility has been assigned by Huzoor to the US jamaat. Muhtram Falah Shams sahib is the ameer of Marshall Islands. Jamaat has already built a mosque and a computer training center in the Islands. Dr. Agha Shahid Khan is in-charge of Medical mission. He has travelled over there and now has a medical team which includes Dr. Mirza Maghfoor Ahmad, Dr. Mubarik Shah and Dr. Haroon Nasir Khan. Of course the team is much bigger and includes many others, but I have mentioned only the Ahmadi names. Dr. Agha Shahid Khan has a charity medical setup which focuses on Ghana and provides medical services and collaborates with the local hospital over there.

Most members of Ahmadiyya Medical Association are foreign medical graduates and we all know the difficulties faced by foreign doctors when they come to this country. With each passing year finding a residency position or passing the necessary exams has become more and more difficult. Dr. Nasir Islam Bhatti, over the years has taken many of these graduates under his mentorship and helped them improve their credentials by finding them research positions and providing references. Dr. Bhatti lives

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in Maryland and works at John Hopkins as Professor of ENT Surgery. Dr. Fizan Abdullah is Professor of Pediatric Surgery at the same institution and has been providing guidance and mentorship to college students who wish to pursue a career in healthcare.

He holds a monthly phone call. If you get your name on his e-mail list, you

will be able to benefit from his guidance. Even after

all this there are many foreign trained Ahmadi physicians in this country who cannot find a

residency position. Some

years ago we proposed that

Ahmadiyya Medical Association should fund

one such position at a US hospital with the ability to have control

over that position. We were able to find a willing hospital and the estimated cost was between $50,000 to $100,000. We found out that you cannot win all your battles. Despite having more than 300 attending Ahmadi physicians in this country, there was no interest in providing funds for this position. So that dream remains in the pipeline.

You must have noticed that most of what I have mentioned is not in the US. Well last year one among us, Dr. Younis Ismail stepped up and established a clinic in rural Alabama, where all patients are seen without regard to their ability to pay. This is deep South, one of the most conservative Christian area of the country. They will never let us build a mosque there but a free clinic was welcomed. In fact the mayor and the chamber of commerce were very appreciative of our presence.

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Why rural Alabama? Because that is where he Dr. Ismail lives! There are many Ahmadi physicians in this country who can set up similar services. Talk to Dr. Younis Ismail and he can provide guidance.

When we think of charity, we think of donating money. Healthcare is expensive in this country and most people think it is not possible to provide enough funding for charity health services. If we think traditionally, we will be right. Among other things we learn when we come to America is that charity is a business: not in a bad sense, but in a good sense. There are very few among us who understand it. Sure, some money is involved. But once we set it up correctly, most charity runs with very little money. Here is an idea for Humanity First! If they could pick up on this concept of providing charity healthcare, they will be able to fund their operations without having any fundraising dinners!

The other day I received an e-mail from Gambia, via Rabwah. Ameer sahib Gambia wrote that the hospital established under Nusrat Jehan Scheme does not have an anesthesia machine. They have a qualified surgeon from Pakistan, Dr. Riazul Hassan,

Dr. Rehman’s Speech from AMMA Conference USA

By: Dr. Lutf U Rehman

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who has worked in Jamaat Mission hospitals in various countries of Africa, but no anesthesia machine. They could not let any media into their hospital for fear of bad publicity. The letter was sent to Ahmadiyya Medical Association of USA, that is us, to provide that machine. I called Dr. Riazul Hassan. He explained his need. He said there is no nitrous oxide gas in Gambia as it is very expensive. There is usually no electricity in the hospitals because of load shedding. So they use a special type of machine and he had all the details. The machine is made by a British company especially for these conditions in third world countries. The cost is $20,000 including delivery and after sale service. We will InshaAllah send this machine: just we don’t have the $20,000. So I end my speech with a familiar pitch. God has given us so much that many among us spend this much on our cars, on our vacations and travels. Our Ahmadi brothers carrying out God’s work on the other side of the world need our help. So let us come together and raise this money to help them. After all, our claim is: Love for all. So let us show some love.

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AMMAC MEMBER AWARDED AS GOLD GIRL OF

MBBS IN ANDHRA PRADESH, INDIA

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Dr. Amtul Shafi, a recent graduate from the Shadan Institute of Medical Sciences (SIMS) was awarded 5 State level Gold medals and one Silver medial for her achievements as a student of MBBS. The awards, if all were to be named would take half the length of this article, were present to Dr. Amtul Shafi by the State Governor E.S.L Narsimhan and Dr. V. Shanta at the 17th Annual Dr. NTR Convocation at Tummalapalli Kalkshetram. Dr. Amtul Shafi’s awards were for top overall performance in medicine statewide as both an MBBS student and as a female MBBS student. An achievement that echoed through the local and state papers for weeks to come; even prompting TV interviews.

Her success as a student had started early on in life. Dr. Amtul Shafi took on demanding roles in the student body during high school and college. She was the first ever student to be the at the top of her class while being

student body president; a feat never before achieved at the

prestigious Rosary Convent School in Hyderabad, AP. Having been accepted into medicine at SIMS on merit

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and a full scholarship she completed her dream of graduating top of her class in 2012.

Dr. Amtul Shafi is a proud member of the Waqf-e-Nau initiative put forth by Khalifatul Massiah the IV, Hazrath Mirza Tahir Ahmed, and plans to dedicate a large portion of her time and knowledge to the better the world through charitable efforts. She is currently in the process of completing her USMLE boards as well as MCC exams in order to become a practicing physician in North America. We all look forward to the bar she will iA be setting for future Nasirath and physicians to aspire to.

By: Dr. Kashif Ahmed

The Promised Messiah (peace be on him) said, "The teachings of the Holy Qurán can be divided into two major categories. The first being unity of God, love and obedience to Him. The second is to treat kindly your brothers and fellow beings... be kind and merciful to humanity...always work

for the good of mankind."

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Location: Hyderabad, AP India Duration: May 2012 – Sep 2012

Presentation

14yr male presented with multiple absent seizure like episodes lasting 5-15min throughout the day.

Patient History

14yr old male adolescent, Mr. U. K. had recently migrated from Saudi Arabia to Hyderabad AP, India 2 month’s prior. He had been attending school regularly in Saudi Arabia and had participated with great interest in Soccer and other extracurricular activities. He is fluent in English, Urdu, and Arabic. He is on no medication and has no previous history of illness or allergies. His immunizations are all up-to-date.

His parents presented him to a hospital clinic complaining he had episodes of absence; they described as, “Staring at the wall without seeing it”. There was no involuntary loss of urine, spasticity, flaccidity or loss of conscious. A complete neurological exam at the time was normal. CBC, WBC, was within normal limits. The patient was advised rest and follow up with a Neurologist.

The patient then presented to Unik Care

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hospital with similar symptoms 3wks post the initial incident. Mr. U. K. seemed well groomed, nourished and competent to answer appropriately the questions asked of him. Accompanied by his father (60+) and his mother (mid-30’s) he seemed uneasy during group questioning and assessment. When asked information individually seemed more able to comprehend the questions being asked and was more detailed in his responses. There were no indications of parental abuse or intolerance. History and Physical did not reveal any triggers or possible causes for the seizure like disorder. Blood work all remained within normal limits. The child was placed into 24hr monitor and followed but did not develop any symptoms. He was hydrated, and referred to EMG and Head CT studies. He was also advised to rest and return when results became available.

Head CT: Normal EMG: No spikes or irregular wave patterns present

Mr. U. K. was then individually interviewed in-depth. Upon questioning he revealed that he was facing hard language barriers with Telgu. This did not allow him to make many friends and adjust to his new socio-economic status. During the interview it was discovered that there was a striking correlation between the seizure like activity and the Telgu language class exams/results. Further questioning made the patient uncomfortable so was referred to a child physiatrist with follow up in clinic as needed.

Impressions from the Child Psychiatrist

Mr. U. K. seems to be presenting with Stress Induced Non-epileptic Seizures brought on by the change in his social network and barriers in language and feelings of inadequacy.

Recommendations

Continued…

Absence seizure with no cause By: Dr. Kashif Ahmed

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Mr. U. K. should be transferred to an English medium school and followed closely for signs of seizures. Valproate may be used if necessary but mood stabilizers are unnecessary at this time as long as the patient is able to continue with behavior modification therapy.

Mr. U. K. was placed on Valproate while transferred to an all English School. He was followed closely in clinic as well as by the physiatrist. All teachers were educated of his condition and advised to contact the clinic if necessary.

Update (05.2013)

Valproate was discontinued after 6 months and no other medications were necessary. Mr. U. K has now been seizure free for almost 6 months without medication and only monthly follow-ups with his psychiatrist.

(Continued)

AMMA National Retreat – An individual Experience

By: Dr. Najam Mian General Secratry

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In the Name of Allah, the Most Gracious the Most Merciful.

By the Grace of God Almighty, two members of the AMMAC had the opportunity to travel to the United States and attend the Fifth Annual AMMA retreat in Buffalo, New York. Kashif Ahmed and Najam Mian, who are both on the AMMAC executive, had fruitful discussions with US AMMA executives and members regarding recent successes and future endeavours that we may be able to partake in. Formal presentations heard on topics such as charity clinics in the Southern US as well as the establishment of clinics and the word of Ahmadiyyat on the Marshall Islands. These sessions were interspersed with meals where more casual dialogue took place. May Allah enable our organization to coordinate

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with our American colleagues and strengthen our impact on the international community. Najam Mian, MD PGY-3 Physiatry University of Toronto

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AMMAC Annual General Body Meeting Recap Dr. Kashif S. Ahmed

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A total of 34 people attended. We started with the recitation of the Holy Quran by Qaasim Mian. Our President, Dr. Nadeem Mian then gave a brief overview of the past year while touching on an important topic of member participation. The key message being that the association should be member driven and not exec driven. I then gave a more detailed presentation for the annual review (the presentation is attached). An update of the observership program was given, along with the mentorship program, the new website, the newsletter, fundraising projects, and the Ecuador project that was brought up last year. Our newsletter editor, Kashif Ahmed, also got up to review the

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progress of the newsletter and to encourage members to contribute to ongoing issues. I also echoed this and repeated that we need people to take the lead on certain projects, including the mentorship and observership programs and the website. Please email me if you are interested. At the time of the AGM we had an email list consisting of 73 names and after the meeting I had 16 new email addresses to add. Many of these people were from different backgrounds, including retired physicians from Pakistan, IMGs, medical students, and homeopaths.

We had a financial review as well. Our collections from last year have gone unspent as previously our budget would primarily go towards our AGM. Thus, after collections from this year, we will have a fair amount which we could spend towards different projects or events. Our treasurer, Dr. Abdul Salam, will be sending out details of our budget and I will be sending out a survey to ask everyone how they want to see their money spent. Different ideas include, sponsorship for foreign missions, donations, and CME events. Members will also have a chance to propose their own ideas.

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was in helping me prepare for an unexpected mass casualty incident (MCI) while I was there. I will be emailing details for the next course later this year. Before we had our elections we had dinner, which was provided by our own langar, with a discussion amongst the members to garner feedback and hear new ideas. Two such ideas included creating a online forum or blog on our website to facilitate member

interaction, and the second was to promote clinical fellowships rather than just observerships in order to help IMGs obtain a residency position. I will try to incorporate these ideas into our new website. We ended the meeting with the election for our new executive committee.

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This was followed by two presentations by myself and by our female VP, Dr. Qanta Ayesha. After finishing her family medicine residency at U of T last June, she was eager to share her experiences after her first year of independent practice. My presentation was on my experience teaching a course on Advanced Cardiac Life Support (ACLS) in Gaza, Palestine. I had gone with group of Canadian physicians, nurses, and paramedics in November 2012. It was meant to highlight opportunities that are available abroad for medical education rater than just clinical work. It also highlighted how valuable the the Humanity First Disaster Response Course

AMMAC Annual General Body Meeting Recap (Continued)

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Friday August 30 6:00pm --- Welcome and registration 7:00pm --- Working committee meeting 8:00pm --- Dinner 9:00pm --- Maghrib and Isha Prayers 9:30pm --- Introductions --- Social Session 10:30pm --- Night 7:30am --- Breakfast Women and children who are not attending the Saturday morning session will be able to go to downtown Buffalo. A 55 seat bus has been rented for this purpose. Bus will leave the hotel at 8:30am and will return by 1:00pm for lunch.

First Session (Presided by Dr. Naseer Tahir)

9:00am --- Tilawat 9:05am --- Opening remarks 9:10am --- Dr. Ahsan Khan (Ophthalmology Jeopardy) 9:25am --- Saad Rehman (Organ Donation and Religious Affiliation) 9:40am --- Question/Answers 9:50am --- Dr. Amtul Qudus Farhat (Chelation Therapy for Coronary Artery Disease) 10:05am --- Question/Answers 10:15am --- Ibraheem Rehman (Mission Trip to Guatemala) 10:25am --- Break

Second Session (Presided by Dr. Naseer Tahir)

10:45am --- Dr. Naeem Lughmani (Financial Report AMMA) 10:55am --- Question/Answers

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11:00am --- Dr. Ahsan Khan (Gift of Sight Mission 2013) 11:10am --- Dr. Younis M. Ismail (First Ever Charity Clinic) 11:25am --- Question/Answers 11:30am --- Dr. Agha Shahid Khan (Marshall Island Project) 11:45am --- Dr. Lutf U Rehman (Services of US Ahmadi Physicians) 12:00pm --- Question/Answers 12:10pm --- Dr. Afzal U Rehman (Remote Control Airplanes or Fishing?) 12:25pm --- Question/Answers 12:30pm --- Lunch 1:30pm --- Zuhr and Asr Prayers 2:00pm --- Bus will leave for Niagara Falls. Some may have to go on their own cars as bus can accommodate only 55 people. Back at the Restaurant at 7:00pm for dinner. 7:00pm --- Dinner (Address: Kabab and Curry. 5185 Transit Road, Buffalo, NY14221 www.Kababandcurry.com) 8:30pm --- Maghrib and Isha Prayers 9:00pm --- Social Session 11:00pm --- Night 8:00am --- Breakfast

Third Session (Presided by Dr. Agha Shahid Khan)

10:00am --- Tilawat 10:05am --- Dr. Zia H. Shah 10:20am --- Dr. Mahmood Qureshi (Humanity First and Ahmadi Doctors) 10:35am --- General Body Meeting/Open Discussion (Future Direction of AMMA) 11:30am --- Question/Answers 12:00pm --- Adjourn (Khuda Hafiz)

Fifth Annual AMMA Retreat Agenda 2013

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www.ahmadiyya.ca/ammac

Kashif Ahmed [email protected]

Editor

O people of Islam, "You are the best people ever raised for the good of mankind because you have been raised to serve others; you enjoin what is good and forbid evil and believe in Allah." (3:111)

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I would also like to take this time to request that if you have an interesting research article you’d like to share, some research you’ve done yourself or just want to ponder on the medical field in Canada we’d be delighted to hear from you.

Please email all articles and newsletter related correspondence to [email protected].

Remember, plagiarism is a crime; and we want to hear it in your voice. We hope to hear from you soon!

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All articles published are © Copyright AMMAC November 2012 with permission of authors. For reproduction, comments or concerns please

contact the editor, Dr. Kashif Ahmed at [email protected].

Thank you for your support.

IS THERE A WRITER IN YOU?

Members who still need to pay their membership fees can drop of his/her cheque in envelop with “Dr. Asim Shaikh & AMMAC” written on the front to Commander Aslam Sb. who s in the office at Awan-e-Tahir Hall in Vaughn on the 2nd floor. Dr. Shaikh visits every Friday for Homeopathic Dispensary, so will make arrangements to pick it up. Alternativly you can also mail the payments directly to

Asim Health Center 2 Brinkley Dr. Brampton ON L7A 1H2. 416-238-9921

Jazakallah Asim Shaikh Treasurer

Membership Fee Information