PFF to launch anti-drugs movement after Eid
According to the forum, the youth of Ibrahim Hyderi and Rehri Goth are becoming addicted to dangerous drugs such as ice and heroin. People in the age of 13 to 50 have become addicted to these deadly drugs. Similarly, about 50 illegal gutka, mawa factories are established in different neighbourhoods of Ibrahim Hyderi, where people from 10 to 60 years of age have become addicted to these harmful substances.
According to medical experts, more than five thousand people in these areas are at risk of suffering from oral cancer.
Addressing the fishermen meeting, Chairman of Pakistan Fisherfolk Forum, Mehran Ali Shah said that Ice, heroin, gutka and mawa are being sold openly in Ibrahim Hyderi, Rehri Goth, Chashma Goth, Ali Akbar Shah Goth, Juma Goth, Ilyas Goth and other areas, which come under the limits of Ibrahim Hyderi police station.
He appealed the IG Sindh, SSP Malir, DSP Sukhun and SHO Ibrahim Hyderi to have mercy on the young generation and impose a complete ban on these deadly drugs.
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Even today, when I narrate this story, people find it hard to believe. The Professor positioned himself next to Bashir's bed, monitoring his condition closely. Throughout the night, he stood or sat beside him as his condition was serious, continuously treating and observing him in an effort to save his life. But Bashir's condition did not improve on Eid day, so the Professor remained in the ward, either by Bashir's bedside or in his room, a truly extraordinary happening. A Professor choosing to stay in the hospital on Eid rather than with his family was unheard of. As Bashir's condition remained unstable, the Professor continued his care through the second night. All other duty staff kept changing according to their working hours but the Professor remained in the ward. The second day of Eid dawned but Bashir's condition was still life-threatening. He was breathless with asthma, electrolytes were disturbed, kidneys were not functioning well and heart was showing mild failure. Even though the Professor was exhausted but he continued his efforts to save Bashir. During the third night he started responding to medications. Finally, on the morning of the third day, Bashir showed significant improvement and came out of the critical state and became clinically stable. Only then did the Professor leave the hospital, after providing detailed instructions for further management. Has anyone heard of a medical specialist who offered such care, even to a close relative? I am confident there is no parallel to this in the medical history of Pakistan. Who was this exceptional individual? He was Dr. Camer Vellani, the Associate Professor of Medical Unit-II at Civil Hospital, Karachi, who had recently migrated from the UK. It was said that he had been placed at Civil Hospital by the headquarters of His Highness Aga Khan to understand the dynamics of healthcare in Pakistan. There was talk that he would later lead medical services at the under-construction Aga Khan Hospital, which proved true. For me, Dr. Vellani became a role model. I started admiring not only his clinical acumen but also his extraordinary courtesy towards patients, staff and the students. His concern for patients was unparalleled. His humility, gentleness, sincerity, and unwavering respect towards all patients was unbelievable. He treated the most underprivileged and the rich alike. Even the dirty, smelly patients were examined by him with similar details without any hesitation and given time as much as he would give to anyone from the elite class. 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He was seen by a leading medical specialist and a neurosurgeon of Karachi and both of them considered him to be a case of depression headaches, as headaches started six months after his marriage. The family was told that the young patient is probably unhappy with the marriage and has sunk in depression, which is causing these headaches. The patient and family strongly disagreed with their diagnosis but the specialists did not took out time to examine him in detail and maintained their stance. At that time, brain scan facility was not available in Pakistan and the diagnosis relied entirely on thorough physical examination, which was not done by any of the two specialists. I recommended he see Dr. Vellani. After securing an appointment, Aamir Bhai took his brother to Dr. Vellani's home on Tariq Road, where he saw only a few referred patients in the evening. 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The neurosurgeon told the family that the patient does not have any brain tumour as he had no classical symptoms and signs associated with the brain tumour and reaffirmed his belief that it was simply depression that is causing headaches and the patient should be treated by a psychiatrist. Sadly, the patient's condition deteriorated over the next six months. The family tried spiritual, homeopathic and herbal treatments also, but nothing worked. As worsening continued, he developed most of the signs and symptoms of the brain tumour. The patient was again taken to a medical specialist who also referred him back to the same neurosurgeon, as he was considered the best in the city. At that point, the neurosurgeon agreed with the diagnosis of brain tumour and operated, but by then it was too late and the young man could not survive. The family and me often wondered if earlier intervention based on Dr. Vellani's diagnosis might have saved him. In another case, Dr. Vellani diagnosed a very tiny tumour, only a few mm size in the thyroid of a patient, just by palpation and referred the patient for the radioactive Iodine Scan to diagnose suspicious cancer. At that time, the scan was done only at the Jinnah Post Graduate Medical Center, where the Head of the Nuclear Medicine Department refused to believe that any doctor could ever palpate such a small tumour. But fortunately, to prove his point he agreed to do the scan and the tumour was detected. The patient received timely treatment and recovered well. In a few years, Dr. Vellani left Civil Hospital and began leading the small medical team that led the foundation for the Aga Khan University Hospital (AKUH). I had graduated and was hired to initiate the outpatient services at the Filter Clinic, which was later named as the Community Health Center. One Sunday morning, my mother complained of unusual chest pain on the back, which she was experiencing from several hours. She took some pain killers for it but had no relief. There were no other associated signs such as radiation to arm or nausea and vomiting. I called Dr. Vellani for advice and he told me to bring her to the AKUH, where he would meet us within 30 minutes. The hospital was close to my home and we reached the AKUH within few minutes and he arrived soon. On arrival, Dr. Vellani examined her and also conducted the ECG himself, which revealed ischaemic changes indicating a mild heart attack. At that time, only limited outpatient services were functioning at AKUH under my care, hence I inquired where to shift my mother. He in his usual calm and soft tone, said, 'We will manage her here." I was surprised on this response as the in-patient services of the hospital had not started functioning till then. He moved her to the area where ICU facilities were available and made the required arrangements. He himself set up the area for her care, which had the bed, monitors, oxygen facility, me as the attending doctor and nursing staff. The blood samples were sent to the laboratory for the tests and my mother was given the required medicines and oxygen. Dr. Vellani decided to leave when blood reports arrived and my mother's chest pain settled. The entire process from his arrival to departure took almost three hours. I walked down with him towards the parking area, discussing the prognosis of my mother, her treatment plan and to thank him for this very special favour to me. I was stunned, when I saw his wife and daughters sitting in the car. They were dressed up for an occasion and waiting for him. At that point I learned then that they were en route to a faculty member's son's wedding when Dr. Vellani stopped at the hospital to see my mother. I just could not believe as he neither mentioned the occasion nor expressed any urgency during the entire process of setting up the treatment facility for my mother. What was further more unbelievable was the calm, with which his family waited in the car for three hours. In all my years in medicine, I have never encountered anyone with clinical skills or compassion comparable to Dr. Camer Vellani. There are many more examples of his clinical brilliance and humility towards the patients and their families, but I believe the above are enough to affirm that he has been an incomparable medical professional in Pakistan; and may be one of the few in the world. I have always felt very blessed that my clinical training and understanding of patient care was by someone as extraordinary as Dr. Camer Vellani – a Messiah. Dr. Arjumand Faisel MBBS, MCPS, MPH, FCPS is a leading Public Health Specialist in Pakistan. He graduated in 1979 from Dow Medical College and has served at the Aga Khan University, USAID/Islamabad and WHO/EMRO. He has been a Consultant for the World Bank, ADB, LSHTM and many other INGOs and NGOs for public health programmes.
