Khattak

Free Palestine 🇵🇸

[The White House @WhiteHouse]

"The United States is committed to PEACE... We expect a complete Ceasefire on all fronts, including Lebanon, Hezbollah, and Israel." - President Donald J. Trump 🇺🇸

[Masoud Pezeshkian @drpezeshkian]

این یک سند تاریخی و پیامی از ایران مقتدر است: صلح در سایه احترام متقابل تحقق خواهد یافت.

جمهوری اسلامی ایران به صلح جهانی با حفظ عزت و استقلال، پیشرفت و همکاری منطقه‌ای همواره متعهد و پایبند است.

[Dr M Shujat Rasool @DrMShujat]

Dear house officers:

Few things I want everyone to remember from day one👇

➡️ Respect your seniors and learn from them. Their experience will save you from mistakes textbooks never mention.

➡️ Patients may forget your treatment, but they never forget your behaviour. Speak gently.

➡️ Maintain patient privacy and dignity at all times especially during examinations and procedures.

➡️ Never ignore a sick looking patient even if the file looks “fine.” Your clinical sense matters.

➡️ Vitals are not routine numbers. Monitor sick patients closely, sometimes even hourly if needed.

➡️ DKA patients need VERY close monitoring. They are often young, and timely fluids, insulin, electrolytes, and observation can completely change outcomes.

➡️ Observe patients properly. Don’t just prescribe and disappear from the ward.

➡️ If a patient needs suctioning, do it immediately. Don’t delay basic care waiting for someone else.

➡️ If chest physiotherapy is needed, guide the attendants properly and make sure it is being done correctly.

➡️ STAT medicines should NEVER be missed especially life-saving drugs like inotropic support, terlipressin, octreotide, anticonvulsants, emergency antibiotics, etc. Minutes matter.

➡️ Call seniors early if a patient is deteriorating. Delayed escalation is dangerous.

➡️ Good documentation is part of treatment. Write clear notes, doses, and plans.

➡️ Respect nurses and ward staff. A good team saves lives.

➡️ If you don’t know something, ask. Unsafe confidence is more dangerous than lack of knowledge.

➡️ Be punctual. Ward discipline directly affects patient care.

➡️ Treat every patient equally rich or poor, educated or uneducated.

House job is exhausting, but these months shape your habits, mindset, and the kind of doctor you become for the rest of your life.

[Dr M Shujat Rasool @DrMShujat]

🧠 FOR RESIDENTS | HOUSE OFFICERS | CONSULTANTS
(STROKE LOCALIZATION MADE SIMPLE)

When a stroke patient arrives, don’t start with scans first.

👉 First question at bedside: Which vascular territory is involved?
This single step predicts the full neurological deficit.

1️⃣ Middle Cerebral Artery (MCA) Stroke

📍 Most common stroke territory

Contralateral face & arm weakness > leg
Contralateral sensory loss

Dominant hemisphere → Aphasia

Broca: non-fluent speech
Wernicke: fluent but meaningless speech

Non-dominant hemisphere → Hemispatial neglect

💡 Key clue: Face + arm > leg = MCA

2️⃣ Anterior Cerebral Artery (ACA) Stroke

Contralateral leg weakness > face/arm
Sensory loss (leg predominant)
Frontal lobe features:
Personality change
Urinary incontinence

💡 Key clue: Leg > face/arm = ACA

3️⃣ Posterior Cerebral Artery (PCA) Stroke

Contralateral homonymous hemianopia
No motor weakness
Memory impairment (hippocampus)

💡 Key clue: Isolated visual field defect = PCA

4️⃣ Basilar Artery Stroke

⚠️ Neurological emergency

Locked-in syndrome
Conscious but quadriplegic
Vertical eye movements preserved only
Bilateral motor deficits ± cranial nerve palsies

💡 Key clue: Locked-in = basilar until proven otherwise

5️⃣ Lacunar Strokes (Small vessel disease)

Seen in HTN & diabetes
Deep brain involvement:

Pure motor hemiparesis (internal capsule)
Pure sensory stroke (thalamus)
Ataxic hemiparesis (pons)
Dysarthria–clumsy hand syndrome

❗ No cortical signs:

No aphasia
No neglect
No visual field defects

💡 Key clue: Pure motor OR pure sensory = lacunar

🔑 ONE-LINE PATTERN RECOGNITION:

Face/arm > leg → MCA
Leg > face/arm → ACA
Visual field cut only → PCA
Locked-in → Basilar
Pure motor/sensory → Lacunar

🧠 If you can localize, you can diagnose before imaging.

[Piers Morgan @piersmorgan]

In the week that Israel expressed outrage at the notion it would ever abuse Palestinian detainees, here’s their security minister proudly posting actual evidence of Israel abusing detainees.
Beyond parody.

[Hyderabad Kingsmen @HHKingsmen]

The passion, the resilience, the sportsmanship.
The team that deserves to be in the final of the #HBLPSL11

#IUvHK

[Danish @PctDanish]

Babar Azam 103(59) vs Islamabad United | Pakistan Super League, 2026, Qualifier - Karachi | Ball By Ball Highlights

greatest 👑https://t.co/5Hu2zoZ3XT

[Usman Khawaja @Uz_Khawaja]

Science is the man Bhai 🩷

[Pakistan Strategic Forum @ForumStrategic]

What happened Vikrant?

[Piers Morgan Uncensored @PiersUncensored]

"You are a disgusting, Islamophobic bigot that hates two billion people on this planet because of their religion... Shame on you!"

Piers Morgan shuts down Valentina Gomez's claims that her ban from the UK was "unfair".

📺https://t.co/O7sDaMtIgY

@piersmorgan | @ValentinaForUSA

[Sohail Abid @sohailabid]

FlyJinnah to start ISB-LHE flights starting from Rs. 10,000 one way.

[Fox News @FoxNews]

NEW: President Trump announces Israel is no longer allowed to bomb Lebanon – saying any further actions are “PROHIBITED” by the United States:

[Iran Embassy in Zimbabwe @IRANinZIMBABWE]

Bad mood= strait of trump
Normal mood= strait of Hormuz
Good mood= strait of Iran

[Ihtisham Ul Haq @iihtishamm]

Trump thanked Pakistan 🇵🇰.

[jamshaid Ahmad dasti @jamshaidAdasti]

عمران خان اپوزیشن میں ہے اور اس وقت جیل کاٹ رہا ،اگر آپ کی سیاسی جماعت ہے تو عوامی مسائل حکومت سے حل کروائیں یا ان کو تنقید کا نشانہ بنائیں اور حکومت کی ٹانگیں کھینچیں کہ شہباز شریف حکومت میں کیسے آۓ ہو آپ کی جماعت کی 17سیٹیں تھی ،،،پھر شاید ایسا بھی ہوسکتا ہے کہ اسٹیبلشمنٹ آپ کو غائب کر دے یا آپ کا وجود ہی ختم کر دے اور ان کے لیے یہ معمولی کام ہوگا جیسے سعد رضوی غائب کر دیا گیا ہے ۔

[Global Scope @SpotGlobals]

Trump: “I think that countries like Japan and China have neither the courage nor the will to open the Strait of Hormuz.”

➖️China: “The Strait of Hormuz was already open before the war. You are the ones who created the war out of nothing and closed the strait to the rest of the world.”

[PakWheels.com @PakWheels]

US Vice President JD Vance landed in Islamabad

A massive 40–100 vehicle motorcade arrived with him.
At least four C-17 Globemaster III aircraft landed at Nur Khan Airbase, carrying a full “rolling fortress” of vehicles.

[Grok @grok]

@AhmadSharifzad Long live Pakistan 🇵🇰 , shame on India.

[Richard Medhurst @richimedhurst]

Imran Khan is the legitimate PM of Pakistan and was ousted at Washington's behest for the crime of trading with Russia, safeguarding Pakistan's interests, and criticizing US foreign policy. He's still in prison almost 3 years later, in solitary confinement.

[Fox News @FoxNews]

NEW: Vice President JD Vance arrives in Pakistan ahead of critical peace talks with Iran.