Azfar

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Azfar

Azfar

@docazfar

Hematologist / Oncologist. Cancer can be defeated .

Saudi Arabia Bergabung Kasım 2011
220 Mengikuti69 Pengikut
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NEJM
NEJM@NEJM·
In the phase 3 ATOMIC trial in resected stage III mismatch repair–deficient colon cancer, adding atezolizumab to modified FOLFOX6 improved 3-year disease-free survival, with a higher incidence of grade 3 or 4 toxic effects, mainly fatigue. Full trial results: nejm.org/doi/full/10.10… Editorial: ATOMIC Energy — Biomarker-Bespoke Adjuvant Therapy for Colon Cancer nejm.org/doi/full/10.10…
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Dr Rishabh Jain
Dr Rishabh Jain@DrRishabhOnco·
Practice-changing in colon cancer? Adjuvant immunotherapy + chemo cuts recurrence risk by 50% in stage III dMMR colon cancer. ATOMIC trial delivers. 👥 Study population Resected stage III dMMR/MSI-H colon cancer ⚠️ ~54% high-risk (T4/N2) ⚔️ Arms 🟦 Atezolizumab + mFOLFOX6 → atezo maintenance (1 year total) ⬜ mFOLFOX6 alone (6 months) 📊 Key results •3-year DFS: 86.3% vs 76.2% •HR: 0.50 (P<0.001) 👉 ~10% absolute gain ⚠️ Toxicity trade-off •Grade 3-4 AEs: 84% vs 72% •More immune AEs (thyroid, colitis, hyperglycemia) ❗ OS immature 🎯 Clinical takeaway For stage III dMMR colon cancer, 👉 IO + FOLFOX is likely the new adjuvant standard 🔬 Test MMR in ALL colon cancers. This now directly impacts adjuvant therapy. 📖 Full paper in comment ⬇️ #OncoTwitter #MedTwitter #ColorectalCancer #GIOnc @OncoAlert @myesmo @esmo_open @asco
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Azfar
Azfar@docazfar·
@SaraKhan26629 @Sadeeq_Hasrat The situation after PLAB is grim for non UK graduates who are going for training posts , but for those who are already trained consultant jobs are available
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Sadeeq Rahman ✨
Sadeeq Rahman ✨@Sadeeq_Hasrat·
Samaj nahi arahi k graduation k bad ab plab, USMLE, DHA, AMC, SMLE, QCHP, FSPS mai se konse exam k lye tayari shoro kron 🥹 Har taraf depression hi depression hai😩 Ik taraf paiso ka masla , dosre taraf saturation ki batain... 🥺
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Azfar@docazfar·
Yes I know but it’s a universal trend that happens across the globe , even in some Arab countries , rich individuals resorted to Misyar and mistress culture resulting in more female persecution. High Mehr is right if women to be paid in advance and if agreed in Nikah prenuptial agreement then it is acceptable. I have taken care of people in 5-6 countries and that is what I experienced. Women should be educated and empowered to not to look to others for financial support that is thoughts and philosophy.
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Azfar
Azfar@docazfar·
That is why high earning athletes , entrepreneurs , live together for years and have multiple children without getting married , there are ways to protect women and giving them financial independence the fore most is financially educating them how to manage and earn money it should be in the curriculum.
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Bina Shah
Bina Shah@BinaShah·
Oh no, giving women a share in matrimonial assets will destroy marriage.
Azfar@docazfar

These type of judgments result in failure of Marriage as an institution which we have seen in the west , once I asked my colleague, why doesn’t he marry and is in a living relationship, he said I don’t want government to invade my bedroom . The long term consequences will be devastating for the society. There is no role of this judgement in any Islamic school of fiqh .

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Azfar@docazfar·
These type of judgments result in failure of Marriage as an institution which we have seen in the west , once I asked my colleague, why doesn’t he marry and is in a living relationship, he said I don’t want government to invade my bedroom . The long term consequences will be devastating for the society. There is no role of this judgement in any Islamic school of fiqh .
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Benazir Shah
Benazir Shah@Benazir_Shah·
An important judgment by Justice Mohsin Akhtar Kayani of the Islamabad High Court rules that matrimonial property, including household items, acquired by the husband after marriage gives the wife a right to share in it if the marriage ends. 🧵
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Azfar@docazfar·
It’s not same as before, I have seen that young doctors do Saudi Council exam and after clearing it come on Azad visa and do job hunt in Private clinics , it gives them breathing space , they have money in their pocket and can go for exams like MRCP and USMLE . If you have done FCPS then you can contact recruitment agencies like Najm they take recruitment fees and then you can get employed in hospitals as a Assitant consultant , staff physician or a consultant depending upon your experience and hospital policy . I saw many Pakistani doctors who did USMLE , MRCP and Australian exams and are working there in US, UK and Australia. Main thing for a young doctor is to earn money so he or she can invest in getting post graduation and good training and clearing exams .
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Azfar@docazfar·
Totally agree with you started my career at 3800 rupees a month now Alhamdulillah earning half a million dollars a year , being broke and wealthy is a part of life your main job is to serve humanity and trust Allah swt and be a useful member of a society, Allah swt will open your doors from unexpected quarters . Choose a life partner who is with you thru thick and thin .
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Azfar@docazfar·
@ayeshaijazkhan Kabul has a oncology department with very good facilities and staff they hire all over the world with salaries up to 8000 US dollars . One should look at people above their lineage , religion,nationality or gender.
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Azfar@docazfar·
@hinaparvezbutt He is perfectly right in asking and giving reference what is wrong in it the guest should answer the question according to his views and evidence .
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Azfar
Azfar@docazfar·
@260Shumael @Abihasays Yes there are 11 states who recognize foreign medical training plus usmle with 5-10 years experience in the relevant specialty.
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Azfar
Azfar@docazfar·
@Dr_Romeooo Yes with modern immunotherapy and TKI lung cancer survival has improved tremendously my own patients are alive more than 5 years but it doesn’t mean everyone does but there are definitely outliers due to modern management regimens .
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𝘿𝙧 𝙍𝙤𝙢𝙚𝙤
𝘿𝙧 𝙍𝙤𝙢𝙚𝙤@Dr_Romeooo·
میں دعا کرتا ہوں سر آپ خیرو عافیت سے ہوں 🤲 ڈالر 97 تھا ( مطلب 2017) اور آپ کو تب سٹیج 4 کا کینسر تھا اور آج ڈالر 270 پلس ہے اور آج آپ اسٹیج 4 کینسر کے ساتھ ٹوئٹ بھی کررہے ہیں ۔ اللہ نے آپ کو لمبی عمر دی ہے اللہ مزید لمبی عمر دے۔ آمین اگر میں میڈیکلی بات کروں تو یہ اسٹیج کا 4 کینسر پوری باڈی میں پھیل جاتاہے دماغ، جگر اور ہڈیوں وغیرہ میں ۔ کتابیں لکھتی ہیں اس طرح کے کینسر میں پانچ سال تک زندہ رہ سکتے ہیں ۔ آپ ماشاءاللہ ٹھیک ہیں ۔ اللہ آپ کو مزید لمبی عمر دے ۔آمین🤲 باقی شوکت خانم ہسپتال بہت اچھا کام کررہی ہے۔
Parvez Baig 🍁 🇨🇦@ParvezBaig1055

مجھے شدید خشک کھانسی شروع ھوئ جو ٹھیک نہیں ھو رھی تھی۔ میں ڈاکٹر فیصل مسعود کے پاس گیا۔ انہوں نے سی ٹی سکین کا کہا جو میں نے سرکاری ھسپتال سے 5 روپے کی پرچی سے کروایا۔ اس میں کینسر کی تخصیص ھوئ لیول 4۔ ڈاکٹر فیصل نے شوکت خانم ھسپتال میں اپنے دوست ڈاکٹر کے پاس بھیجا 1/2

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Azfar
Azfar@docazfar·
@koolkopper Good Bikes can go up to 10 thousand dollars especially carbon fiber based medium range ones are above 2000 dollars .
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Abdul Majeed Khan Marwat
Abdul Majeed Khan Marwat@koolkopper·
A good bicycle costs from Rs 20,000 to Rs 85,000 in PKR. Just to let you know in case you are planning to buy one. 🚴🚴🚴
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Azfar@docazfar·
@ShareefYezdani Alhamdulillah became very rich after marriage .
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Azfar@docazfar·
@YaseenUSM_Offl Pathetic comment, when you play you can get out , there were other 10 players why did they not score.
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Azfar
Azfar@docazfar·
@BiyaAli9 Try to go abroad as soon as possible , working in toxic environments is not good for mental health.
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Biya Ali Zaib.
Biya Ali Zaib.@BiyaAli9·
Lessgo unemployed doctors
Biya Ali Zaib. tweet media
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Azfar
Azfar@docazfar·
@Shehzad89 Unless they make bowling and batting 50-50 percent contest , cricket will become irrelevant, the bats with modern technology are such that all edges are going for sixes there is no swing .
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Jelajahi

@OncoAlert @myesmo @esmo_open @asco @SaraKhan26629 @Sadeeq_Hasrat @ayeshaijazkhan @hinaparvezbutt