Offline Clinic fitness, health, beauty tips, exercise, gym, medical and surgery Sun, 06 Apr 2014 06:44:40 +0000 en-US hourly 1 British Scientists clone Dinosaur – Fake hoax Sun, 30 Mar 2014 18:47:47 +0000 Read more »]]> Recently there have been a picture rotating around the internet with the text that some scientists at liverpool’s John Moore University have successfully cloned a dinosaur!

Seriously? Well, technically a dinosaur can’t be cloned as per what the last published studies that I came through has stated due to some “technical” issues with the part of acquiring it’s complete DNA along with some other issues.

The image displayed with the news seems like fetus of some animal and the baby dinosaur is named “Spot”. Quite interesting isn’t it?

dinosaur clone


The SPOT is being intubated currently at the university’s college of veterinary medicine as per that fake news.

The hoax claims that the fetus was intubated in the fertile ostrich womb as they claim ostriches share a lot of genetic traits with dinosaurs (said Dr. Gerrard Jones,a biology professor at LJMU and projects leading scientist – they say)

Anyone with a reference or link to the above mentioned university? can you please contact them and get the info directly from them why they have spread this hoax ?

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Best minimum exercise for everyday to stay fit Tue, 25 Mar 2014 05:39:33 +0000 Read more »]]> Yesterday a friend of mine asked me which exercises should definitely be done on regular basis to stay fit and in good toned up shape.

Well, there are many exercise and workout regimes that claim to be the best in that aspect, I’ll tell you what’s the minimum required exercise for everyday.

1. Running/jogging


No matter how much weight you lift, no matter how fast u swim, and no matter how hard you punch, running or jogging is the basic exercise which should never be missed. I have heard various occasional sportsmen say they don’t need jogging because they do this or that bla bla! Hey, listen, no matter what you do, running is a must.

You should be able to run 1 mile (1.6km) in less than 6 minutes if you’re an athlete or atleast within 7 minutes if you like calling yourself fit.

2. Push-ups


Since long, broad shoulders and wide chest are considered the sign of fitness and masculinity. Pushups help you tone up and even develop your shoulders, chest abdominals and back muscles. Yes you need pushups to have those six packs too!

Minimum requirement is to be able to do atleast 25 perfect pushups at a time.

3. Chin-ups/pull-ups


Goto any martial arts club, karate, Kungfu etc, you will see the kids there jumping around and doing hell difficult exercises all around but none, almost none of the clubs or institutes focus on chin-ups, infact they don’t even have a chinup bar at the dojo! Oh come on! How are you even claiming to be fit without chin-ups?

Chin-ups train your shoulders, neck, back and chest a lot! And again, it helps in getting your six packs too.

A healthy person should be able to do 5 chin-ups at a time, minimum! With either over or an under grip.

You should do this exercise atleast 5 times a day and take saturday/sunday full off if you want to.

An athlete can do other exercises along with it which he wants to but if he isn’t doing these then he is doing bad to himself! So start jogging, pushups and pull-ups during your workouts regularly!

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Police and bhugti tension in shifa international hospital, islamabad Wed, 03 Jul 2013 13:02:11 +0000 Read more »]]> For last couple of weeks, a person was admit in medical icu of shifa international hospital was from balochistan and the grand son of bhugti was sponsoring his treatment there.

Today, that guy died in shifa international hospital, islamabad. Since then a huge infantry of police and a lot of balochis and bhugti people are present in shifa international and the situation is quite tensed.

shifa 1

The police and anti terrorist squad is not only deployed outside shifa, but they have also taken positions at all entrance and exits of the hospital. They’re moving around inside the hospital too to keep an eye on stuff.

Media is also present at the location and waiting for don’t know what… a clash maybe ? or some official statement ?

The bhugti clan wants to take the dead body to the parliment and police is there to stop them.

Lets hope nothing bad happens…

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Thrombolytic vs Fibrinolytic vs Anticoagulant agents Sun, 09 Jun 2013 10:10:04 +0000 Read more »]]> There is sometimes confusion among medical students that what’s the difference between the thrombolytic agents, fibrinolytic agents and the anticoagulants and which drugs or agents perform each of these actions.

thrombolytic-fibrinolytic-anticoagulantThrombolytic agents break down the thrombus / clot itself.

Example includes Heparin (natural thrombolytic)

Fibrinolytic agents are the one which breakdown the fibrin inside the clot but not the thrombus itself.

Example includes Plasminogen (natural fibrinolytic)

Anticoagulants work is before the clot is formed, i.e, they prevent the clot from getting formed in first place. Once the thrombus is formed they can’t break it down, instead, thrombolytic agents are used instead for the breakdown of the clot.

Hope it clarifies the concept of each of these. If you have any query related to thrombolytics, fibrinolytics or anticoagulants please let me know.

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Drugs used in VT and SVT Sun, 19 May 2013 17:15:28 +0000 Read more »]]> ventricular tachycardiaThis post simply summarizes drugs used in ventricular tachycardia and supra-ventricular tachycardia.

Note: this post is meant to give a brief quick review for when to use amiodrone, verapamil, lidocaine and adenosine.

Lidocaine: It’s drug of choice in post MI ventricular tachycardia.

Amiodrone: amiodrone can be given in both post myocardia infarction ventricular tachycardia, and vt without MI too.

In Supra ventricular tachycardia, drug of choice is adenosine and then verapil.

If you have any queries or want to discuss, please let me know through comments.


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Best exercises to lose weight fast Sun, 19 May 2013 08:44:35 +0000 Read more »]]> All exercises are not designed to lose weight. Some are there to tone up the body, some to gain stamina and even some to gain weight. Proper and relevant exercise with proper diet is necessary to lose weight fast. Here we will list out a few best exercises to lose weight fast.

Best exercises to lose weight fast:

swimming-weight-lossSwimming: Swimming is one of the best exercise to lose weight fast and effectively. It will not only make you lose weight but also give your body a proper tone and look. Swimming is specially good for very obese people and people with joint issues as there is minimum stress on joints in swimming. But the trick is to “swim” in the pool, not just take a bath, I hope it makes sense.

Trekking / Hiking: If you’ve got a hill near your home, you live in a paradise. Climb up the hill everyday. Average height to be climbed per day is 1km (length can vary). But start slow and keep improving the speed and height day by day as trekking may hurt your knees or feet or even back if you’re not trained properly.

Jogging: Well, if you can’t swim or hike, then jogging is equally effective but sort of boring (atleast for me :) ) exercise to lose weight fast . . .

Martial arts with lots of aerobics in it is very efficient exercise to lose weight really fast too!

I hope this list helps you chose the exercise you want to follow to lose your weight rapidly.

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Pollen allergy season in Islamabad, Pakistan Sat, 13 Apr 2013 21:37:32 +0000 Read more »]]> pollen allergyMarch and April are the months of pollen allergy in Islamabad, Pakistan. The influx of patients to the emergency department with aggravated asthma in these months is too high. P.I.M.S (Pakistan Institute of Medical Sciences) has set up a seperate allergy clinic for asthma allergy patients in emergency to manage the patients as soon as they get into the hospital.

Tips to avoid pollen allergy outcomes for the patients with asthma specially:

avoid dust

avoid going into the hilly areas or lush green areas where pollen is in abundance

wear the protective mask to keep out any pollens from getting into your wind pipe.

avoid cold

Nebulize everyday for around 10 minutes

keep the inhaler with you at all times, specially when you go out

take mast cell stabalizer (monteka for example) and antihistamine (telfast-d for example) during this season to help avoind getting pollen allergy attacks.

If the patient gets serious shortness of breath (SOB) don’t wait for magic to happen at home, rush him or her to the hospital.

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Significance of eosinophils in allergic reactions Sat, 30 Mar 2013 14:13:31 +0000 Read more »]]> eosinophilVarious cell lines and their variations in complete blood picture has their significance in determining the type of infection or reaction going on in the body.

Eosinophils are usually indicative of any allergic reaction going on in the body.

Eosinophils are generally associated with antigen-antibody reactions taking place int he body. So any situation in which allergic reaction takes place in the body as a result of any allergic agent or a hypersensitivity reaction, eosinophils count will shoot up.

Examples of reactions in which eosinophils count will rise include:

  • hay fever
  • asthma
  • drug hypersensitivity
  • bee stings
  • etc

Note: Decrease in eosinophils count can be seen in the patients receiving corticosteroids therapy.

The lab reports always go along with the history and physical examination of the patient and there is no alternate for professional medical consultation.

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What is meant by “shift to left” of neutrophils Sat, 30 Mar 2013 08:33:40 +0000 Read more »]]> Have you ever heard “shift to left” in diagnostic criteria of some disease (e.g appendicits – mantrels scoring system). Let’s discuss what’s exactly meant by this term, shift to left.

neutrophilFirst of all we need to have a brief background. Less mature neutrophils are called bands or stabs (due to their appearance).

In acute bacterial infection, there will be increase in total number of mature neutrophils along with less mature bands or stabs in response to the infection.

In old days, when the laboratory reports were written by hand, less mature neutrophils were written first on the left side of the lab report. This term is holdover from that era and increase in less mature neutrophils is still called as “shift to left” in acute infections.

Less mature neutrophils are less than 10% of the total neutrophils in the blood stream. So if the complete blood picture says that there is a shift to left then it means that the less mature neutrophils are more than 10% in this patients blood.

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Neutrophils count in bacterial and viral infections Sat, 30 Mar 2013 07:33:21 +0000 Read more »]]> Although not applicable in all cases, neutrophils count in acute infection can be indicative of a bacterial or a viral infection.

neutrophilThere is a difference in neutrophils response to bacterial and viral infections.

Neutrophils count increases in cases of bacterial infection (exceptions are typhoid, brucelosis, etc).

However, viral infections tend to reduce the neutrophils count (e.g hepatitis, influenza, rubella, rubeola, and mumps).

So next time you face a patient with symptoms of an acute infection and a valid history, the neutrophils count would be helpful in determining which type of infection is going on in the patient, viral or bacterial.

Note: This post is not at all an alternate to professional medical consultation, consult a doctor if you’re having any symptoms of viral or bacterial infection and don’t take only neutrophil count as the indicator of bacterial or viral infection.

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