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"Verily, in the remembrance of Allah do hearts find rest." (Qur'an 13:28)
"Therefore remember Me and I will remember you…" (Qur'an 2:152)
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Aisha Ismail.
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Aisha Ismail. retweetledi
Stroke localization is one of the most powerful bedside skills in neurology and also one of the most favorite questions consultants ask during morning rounds.
So if you want to avoid getting embarrassed during rounds, you should definitely know these patterns.
Here are more high yield stroke localization pearls for residents and house officers 👇
➡️ Aphasia = dominant hemisphere lesion (usually left MCA) until proven otherwise.
➡️ Neglect = non-dominant parietal lobe stroke (usually right MCA).
➡️ Crossed signs (cranial nerve deficit on one side + body weakness on opposite side) = brainstem stroke.
➡️ Sudden vertigo + ataxia + diplopia = posterior circulation stroke unless proven otherwise.
➡️ Pure motor hemiparesis with no cortical signs = lacunar infarct.
➡️ Visual field defect without weakness = think PCA territory.
➡️ Locked-in syndrome is basilar artery thrombosis until proven otherwise.
➡️ Face and arm weakness worse than leg = MCA stroke.
➡️ Leg-predominant weakness = ACA stroke.
➡️ Dysphagia + hoarseness + ipsilateral facial sensory loss = lateral medullary syndrome.
➡️ A patient who “cannot speak” may still fully understand you → Broca aphasia.
➡️ Fluent but meaningless speech with poor comprehension → Wernicke aphasia.
➡️ Eye deviation usually points toward the side of hemispheric stroke.
➡️ Thalamic strokes commonly present with pure sensory deficits.
➡️ Sudden coma with pinpoint pupils should raise concern for pontine hemorrhage.
➡️ Severe headache + vomiting + decreased consciousness = think hemorrhagic stroke.
➡️ New atrial fibrillation in stroke patient = always suspect cardioembolic stroke.
➡️ Brainstem strokes can present subtly but deteriorate rapidly.
➡️ Bilateral weakness is never a typical MCA stroke pattern — think brainstem/basilar pathology.
➡️ If symptoms do not fit one vascular territory, reconsider the diagnosis.
➡️ Cortical signs = aphasia, neglect, gaze deviation, visual field defects, seizures.
➡️ Absence of cortical signs strongly favors lacunar stroke.
➡️ Sudden isolated ataxia in elderly hypertensive patient can still be a stroke.
➡️ Posterior circulation strokes are commonly missed in emergency settings.
➡️ Normal CT brain early in ischemic stroke does NOT exclude stroke.
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.
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Aisha Ismail. retweetledi
In pregnancy, your main goal is to stay alive honestly 🤣
Ola@farryword
When you're PREGNANT, dress well, comb your hair, eat good food and look nice. You're PREGNANT not MAD😒🤨😐
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Aisha Ismail. retweetledi
Doctors are not meant to work in a system where every order is obeyed blindly.
Even military hospitals don't operate that way.
Pharmacists are supposed to question unsafe prescriptions.
Laboratory professionals are supposed to reject inappropriate, duplicate, or poorly indicated tests.
Nurses are supposed to speak up when something looks wrong.
That is patient safety.
But there is a difference between a clinical challenge made in good faith and a culture of casual disrespect & ego battles.
The first protects patients.
The second poisons teamwork.
A serious health system needs both.
The humility for orders to be questioned when necessary, and the professionalism for that questioning to be done respectfully, with clinical reasoning, and in the patient’s interest.
Dr Scarface📍🩺@king_pearxe
A medical doctor will write out a prescription, and a pharmacist will refuse to give it. A medical doctor will write out tests and investigations, and a medical lab scientist will refuse to do it saying it's too many tests for one person. A nurse will come out and tell a neurosurgeon That hope it's not this brain he uses to cross the road. Once you're a medical doctor in Nigeria you're already in trouble
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I swear doctors on x talk too much, why are you giving so much attention to rubbish.
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Aisha Ismail. retweetledi
Let’s talk about the 7-7-7 rule of parenting. I know that some of you might have heard of it before. But what I want to share with you are rare tips that you cannot find in your regular blogs.
Why the 7-7-7 Rule in the first place?
We are all exhausted. I see it in my DMs every day. We are fighting battles in our homes that we should not even be in because we try to use the same heavy hand for every age.
The truth is, you cannot use the same logic for a toddler that you use for a teenager. When you use the wrong tool at the wrong time, you do not just fail to teach the child. You break the relationship between you and the child.
The 7-7-7 rule is the solution to this constant friction. This rule was first echoed by Ali ibn Abi Talib (May The Almighty be pleased with him).
He said: Play with them for seven years, Discipline them for seven years, and then Befriend them for seven years. It sounds easy, but most of us do it in the wrong order. We are too serious with the toddlers and then we try to be the boss when they are already teenagers.
(1) The 0 to 7 Years Stage. This is the stage to build the love tank. Imam Al-Ghazali said in Ihya, that a child's heart is a precious jewel that is blank and ready for any carving. In these years, you should play more than you lecture.
One rare tip that you can adopt going forward is Overhead Praise. Direct praise is good, but overhead praise is gold. Instead of telling them they are good, tell your spouse or a friend about their good deed while the child is in the room. When they hear you brag about their kindness when they think you aren't looking, it builds a deep confidence.
Action Tip: Find one small thing they did well today and mention it to someone else while they are nearby. Make sure they can hear you. Be intentional and consistent about it.
(2) The 7 to 14 Years Stage. This is the time for character and boundaries. The scholar Ibn al-Jawzi in Sayd al-Khatir, warned us about forcing a narrow vessel to hold too much.
Remember I talked about Taghaful (Strategic Ignorance) yesterday. This is the right age to use it. It means you see the mistake, but you choose to look away. If you correct every single thing they do wrong, they will develop a hearing block against your voice by age ten. You have to save your corrections for the things that matter.
Action Tip: Start today by adopting the 70/30 rule. Ignore 70% of the small irritations, maybe it is a messy desk or a slow response. Save your energy for the 30% that actually involves character or safety.
Only speak up for the big boundaries. You are building authority by not wasting it on small irritations. Pay attention to their demeanor and be consistent.
(3) The 14 to 21 Years Stage. In this stage, the "boss" version of you must die so the "consultant" version can be born. The scholar Ibn Miskawayh in Tahdhib al-Akhlaq, wrote about the refinement of the soul as a process that requires respect. If you keep using force, they will just learn to hide their life from you.
Action Tip: Your job now is to protect their Sirr (Sacred Secrecy). If they tell you something heavy, misdeed or embarrassing, keep it between you. Do not share it with the extended family. To keep them close, you must be a safe vault.
This week, try to listen to them for twenty minutes without giving a single piece of advice. Just listen so they know you are a friend they can trust with their future.
In all, the 7-7-7 rule is about realizing that you are a gardener. You don't make the plant grow. You just provide the right environment for it to reach its own opening (Fath).
As a parent, which stage are you currently navigating? Let’s discuss in the comments👏🏿👏🏿
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Aisha Ismail. retweetledi
Hello Lola, I am a Muslim, and our spiritual tradition has a very deep approach to raising children. I want to share some tips from our scholars that will be beneficial to you regardless of your faith.
First of all, our theology teaches the concept of Fitrah. This means that every child is born with a pure heart. At six years old, she is not a criminal mastermind. She does not have a wicked soul.
If she doesn’t have all these, then what is happening? The truth is that she is just lacking impulse control and testing boundaries. By this, if you look at her as a manipulator, you will fight her. However, if you look at her as a pure soul making mistakes, you will be able to guide her.
Secondly, for every problem anyone faces today, it has been solved in history. The only problem is how to locate them.
A classical scholar named Al-Ghazali wrote about child psychology over 900 years ago in his famous book “Ihya Ulum al-Din.” In his section on disciplining children, he gave a practical rule I want you to adopt going forward.
He advised that parents should never push a child into a corner where they are forced to lie. When you ask a question you already know the answer to, her survival instinct kicks in. She cries and she lies to defend herself because she is scared of you. Stop interrogating her. Just look at her and state the fact. Say, I know you took this, and we are going to return it right now.
Again, another scholar and sociologist Ibn Khaldun addressed this exact behavior in his masterpiece titled: “Al-Muqaddimah.” He warned that when a child is raised with harsh punishment, they learn deceit, trickery, and lying to protect themselves. This is why she is covering her tracks and crying to manipulate you. The fear of a harsh reaction is making her a better liar.
Lola, do not attach a label to her. Do not ever call her a thief. If you attack her identity instead of her action, she will internalize it and grow into that dark label. Tell her the action is wrong but protect her dignity.
Make her return the item. Do not fall for the tears. Hold her hand, walk her back to wherever she took it from, and make her hand it back and apologize. The discomfort of returning a stolen item teaches a much better lesson than beating her will ever do.
Finally, I don’t know if you are a Muslim, but never underestimate the power of your own words. In our faith, we believe the prayer of a parent for a child goes straight to God without any barrier. Pray over her. Pray for her heart to be content and for her character to be straight.
Keep doing this consistently and the habit will break.
Allah knows best.
Lola💎@ComfortLolaa
How do I stop a child from stealing? She’s just 6 years old, but she steals like an expert, covers her tracks perfectly, and denies it with teary eyes so much that you start to feel bad for her and even second-guess yourself as an adult.
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Aisha Ismail. retweetledi
Aisha Ismail. retweetledi
It is pointless comparing Buhari’s security performance with that of the current president’s, they’ve both failed.
At the peak of insecurity in kaduna, the kaduna-Abuja highway, the norths gateway to the capital and beyond was literally unmotorable to the point even generals
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Aisha Ismail. retweetledi
“I’m a Muslim but…” just so you could sound acceptable to others.
When insults are thrown at Muslims, nobody separates you from the rest of us.
They pack all of us together.
Standing firm in your faith shouldn’t be something you’re ashamed of. Pandering won’t save you!
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Aisha Ismail. retweetledi
DEAREST @MDCNOfficial, WHEN DO YOU INTEND TO PAY THE HOUSE OFFICERS THEIR FEBRUARY SALARY?
TODAY’S DATE IS MARCH 13th.
Dr. Goodness Adeosun😃@GoodnessAdeosun
DEAREST @MDCNOfficial, WHEN DO YOU INTEND TO PAY THE HOUSE OFFICERS THEIR FEBRUARY SALARY? TODAY’S DATE IS MARCH 3RD.
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Aisha Ismail. retweetledi
My current top 3 journalists around the world🔥🔥🔥
- Mehdi Hassan
- Madina Maishanu
- Rufai Oseni
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Aisha Ismail. retweetledi
Aisha Ismail. retweetledi
Daniel Regha is speaking up for the Killing of innocent Muslims, while Muslims on social media are campaigning for Renewed Hope.
Sad times.
Islamic_engineer👳👳👳@Musab_y_agric
📌
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The reason why responding to comments on social media doesn’t make sense is because you might be replying to a 16 year old secondary school student.
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Aisha Ismail. retweetledi
🇳🇬 JUST IN: Nigeria Ranked World’s Worst Hunger Crisis in 2026 With More Than 31.8 Million People in Acute Food Insecurity
Nigeria has been ranked the worst hunger crisis in the world, according to the newly released “10 Global Hunger Hot Spots 2026” report by Action Against Hunger.
The report confirms that 31.8 million Nigerians are facing acute food insecurity classified as IPC Phase 3 and above, the highest number recorded globally.
Of that figure, 30.8 million people are in Crisis, while 1 million are in Emergency conditions. Analysts warn that conditions in inaccessible conflict zones could be worse than officially reported.
The malnutrition data is severe. Nearly 5.4 million children under five are suffering acute malnutrition. This includes 1.8 million cases of Severe Acute Malnutrition and 3.7 million cases of Moderate Acute Malnutrition. An additional 787,000 pregnant and breastfeeding women are severely malnourished.
The report links the crisis to prolonged insurgency in Borno, Adamawa and Yobe states, the destruction caused by the 2024 floods, high inflation estimated at around 35 percent, economic instability, and declining humanitarian funding.
The 2024 floods destroyed 1.1 million hectares of farmland and displaced nearly 2 million people, worsening food shortages nationwide.
More than 3.5 million Nigerians remain internally displaced, with insecurity continuing to disrupt farming, markets and aid access.
Nigeria’s Humanitarian Response Plan is seeking approximately 910 million dollars, but funding gaps threaten life-saving interventions.
Projections from the World Food Programme warn that up to 35 million Nigerians could face severe food insecurity in 2026 without urgent action. Famine-like risks have been flagged in parts of Borno State.
Nigeria now has the highest number of people in acute hunger anywhere in the world.
BSN@Barristerstreet
🇳🇬 JUST IN - “35 Million Nigerians Could Go Hungry in 2026” ~ Senate President Says Nigeria Is in a Full-Blown Food Emergency Senate President Godswill Akpabio has raised a fresh alarm over Nigeria’s worsening food crisis, warning that soaring prices and rising hunger now threaten national stability. Speaking on January 27, 2026, during the Senate’s first plenary session after the Christmas and New Year recess, Akpabio said millions of Nigerians are being pushed to the brink by the rising cost of food, calling the situation a national emergency that demands urgent action. He cited a recent United Nations projection that up to 35 million Nigerians could face severe hunger in 2026, including widespread risks of malnutrition, particularly among children. Akpabio warned that hunger, if left unchecked, could deepen despair and social unrest across the country. The Senate President said food inflation has placed unbearable pressure on households, especially the poor, and urged lawmakers to move hunger to the top of Nigeria’s policy priorities. He called for urgent legislative and policy action to boost agricultural production, stabilize food supply chains, and protect vulnerable Nigerians from the impact of inflation. He also urged the Senate to ensure the 2026 budget delivers real relief to citizens rather than paper promises. Akpabio acknowledged the resilience of Nigerians despite the hardship but stressed that leadership must do more than sympathize. He said the Senate must focus on people-centered laws and strict oversight to ensure government policies actually improve lives. His remarks come as Nigeria battles high inflation driven by insecurity in farming areas, rising transport and energy costs, and economic reforms that have sharply increased living expenses.
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