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Medical Ethics

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Mirza Yawar Baig

Channel: Mirza Yawar Baig

Episode Notes

Medical ethics is or should be an oxymoronic term. Medical care without ethics should be an impossibility. But sadly it’s not. Especially in India unethical medical practice with the pocket of the patient as focus instead of alleviating suffering is widespread if not the norm. Doctors take kickbacks and commissions from pharmaceutical companies and diagnostic centers without hesitation. Hospitals set commercial targets for doctors and the patient is the victim. This lecture is to remind doctors especially Muslim doctors about the fact that one day they’ll answer to Allah for the decisions they make with respect to their patients.

Episode Transcript

© No part of this transcript may be copied or referenced or transmitted in any way whatsoever. Transcripts are auto-generated and thus will be be inaccurate. We are working on a system to allow volunteers to edit transcripts in a controlled system.


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inamdar illa salatu wa salam O Allah, Allah Allah, he was heavy Eva Manuela. But my dear brothers and sisters,

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I want to speak to you about this topic of medical ethics, and I have called it speaking the unspeakable, not speaking the unspoken, but speaking the unspeakable. The reason I'm calling it the unspeakable is because to me a term like medical ethics, or judicial honesty, or maternal kindness. These are oxymoronic terms. As far as I'm concerned, this is a stupid term, which there should be no need to say this. Because what is a doctor without ethics, what is a judge who is dishonest? What is a mother who has no kindness. So the whole point of medical ethics, today we have to talk about this because it has become not just a matter of concern, but a matter of great urgency. But I just want

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you to keep that in mind to say that the very fact that we even have to talk about something like this shows the extent of sickness, that is there in our society, sickness of the mind, sickness of the heart. And this is because we have chosen to make commercial gain as the single point of reference for success. And this is the tragedy today, that when commercial gain,

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gets superiority over moral and ethical values, we have a society like we have. And and in the words of j Krishnamurti, which I am never tired of quoting, he said that it's not a sign of health, to be profoundly adjusted to a sick society. And we are a very, very sick society.

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Even more therefore, important for doctors more than anybody else, whose chosen profession is to heal sickness, and who take a oath, it's probably the only profession where you actually take an oath at the end of your qualification, to be honest, to be ethical to be moral, and to keep the interest of the patient Top Most in the mind. Now, if we find that after that, if doctors are unethical if they are immoral, and if instead of keeping the interests of the patient in mind, if they are exploiting the patient, and treating the patient like a, an object of material gain, then we have a very, very serious problem. I want to I want you to take a look at this at this video and

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tell me what you think about this.

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Because this video is a classic example of what happens when we look at trust. Trust is like glass,

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one once shattered, it can never be put back. Even if you find all the pieces Anyway, we'll stick them all back again, it's never going to be like it was

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if you look at relationships of trust, I can list a lot of them. I've listed some of them here, parent, child, teacher, student, husband, wife, employee, employer, lawyer, and client. In a mother, the mom and the macdaddy are the muscley. But

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perhaps the most, the deepest of them is the relationship between a doctor and a patient.

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My father used to say my father was a was a physician, and a surgeon. He used to say that the doctor is the only one who can say to a grown man, take off your pants, and he will do it. Now this is the relationship of trust, and that is the relationship of the doctor and the patient. Now what if that relationship if that trust is shattered?

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Why am I talking about relationships of trust? The reason I'm saying it is because in a relationship of trust, there are no barriers. There are no safety measures. There are no defenses, you open completely, and you open completely not because you don't need the protection. You're not open completely because somehow you have become immune, you're open completely because you don't expect an attack to come from that person. You do not expect evil from that person. And if he will, therefore come from that person, then there is no defense against it. It goes straight to the heart. And that is the reason why all crime is evil. But a crime that is done in a relationship of trust,

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even legally is considered far more evil than a similar crime where there was no relationship of trust.

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What a doctor does to a patient, if it is not, in the interest of the patient,

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is a crime in a relationship of trust,

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the golden rule as they say,

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in se Bukhari is the head is from So Allah is Allah, Allah, Allah, where he said, no one of you, not one of you can truly be a believer, not one of you can truly have a man, if you do not want for your brother, what you want for yourself.

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In other words, the famous words of the golden rule, do unto others, as you would have them do unto you. And I think the sum total of medical ethics can be

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taken and put, and expressed in this one line, do unto others, as you would have them do unto you. The sum total of medical ethics, the sum total of ethics of life, are contained in this one hadith of Rasulullah sallallahu sallam, where you said and see the word of the Hadith, that which Allah Allah made it conditional. He's making a qualifying statement. He's saying, you cannot have a man, you cannot believe you cannot have faith

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until you want for your brother, what you want for yourself.

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Now what is stronger than that? What is more emphatic than that? And this is what I want you to really reflect on and say, Do you really want for your brother, what you want for yourself, when you go into a hospital and believe me, the day will come? If you don't watch it, the day will come when Allah will put you through the same hoops that you put your patients through. We ask Allah subhanaw taala to save us all from hospitals and doctors, and to keep us healthy until our last day, so that we die in a state of good health inshallah.

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But people who exploit patience, just ask yourself this one single question, go and sit down quietly in a room, reflect and just ask yourself one simple question. If you were the patient, instead of the doctor,

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would you still approve of what you do to your patient? Would you still think that was a good thing? Ask yourself this question. I'm not saying that I'm not implying that all doctors are unethical. But today, the number of unethical doctors and the number of unethical practices in medical practice in health in healthcare, have reached such

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have reached such a magnitude. They've become so endemic and epidemic, that it's important for us to speak clearly about this. Those who do not fit into whatever I'm saying, All part you May Allah keep you pure, stay pure. That's a very, very important thing. Now let's look at the the relationship itself. Now you take the patient, I've drawn a model for you, if you take the patient, I see four major constituents of this model, you've got the hospital, you've got the pharmaceutical company, you've got the diagnostic center, and you have the doctor. So these are the four players in the game. And the patient is central to all of them.

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But in all of these, the five of them, which is a patient, the pharma company, the doctor, the hospital, and the diagnostic Center, the only one who pays is the patient.

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The only one who pays is the patient. So if somebody tells you that somehow, money is going into the doctor's pocket, that didn't come from the patient, then the person is either a liar, or the person does not understand business Simple as that he's either ignorant, or he is lying through his teeth. And I don't care who it is. I do not care who it is. If someone tells you that in this whole equation, between the patient, the hospital, the diagnostic Center, the pharmaceutical company and the doctor, if someone tells you that money goes into the pocket of the doctor, which did not come from the patient, the person is either ignorant or he is a liar. If there was no patient, there

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would be no doctors.

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Please understand very clearly, the patient is the cause. If there was no patient, there would be no work for doctors. And if converse is not true, you would have no doctors, but you would still have patients, people who are sick, but there's no one real them.

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But if there is no one sick, then there is no work for doctors. There's a famous story in the era of two doctors who were sent to

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Wabi Sabi by the macaque Gods of Egypt, they came to Medina and welcome them and they stayed in Medina. After two years, they came to visit us Allah and asked permission to leave. So I said, Why are you unhappy? They don't even bother you. Is there a problem? This Arizona there is no problem. We are not unhappy Alhamdulillah the people of Medina are beautiful. We have been very hospitable, hospitable to us. So that was awesome said then why are you Why do you want to leave? They said, because we have no work. He said, for two years, we have treated nobody, there's no one get sick.

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So there is no need for a doctor.

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Now imagine what this tells us. Now not even talking about the Sierra, what was happening in Medina, I'm saying that this shows us very clearly that the patient is central. So any money that is going into your pocket, whether it is legal, or whether it is illegal, whether it's a salary from the hospital, or whether it's a fee that you charge your patient, these are the only two legal monies

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that you can make.

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Everything else is illegal. But all of that the legal and illegal comes from the patient. So get this very clear in your mind that the only one who pays is the patient. And anything that goes in your pocket is coming eventually from the patient directly or indirectly.

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So what is medical malpractice? hospital with commercial targets?

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This is like this, like halaal pork? I mean, this is a completely insane,

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insane thing. How can a hospital have a commercial target? How can you judge doctors based on how much money they make for the hospital? We have reached that's why I'm saying we are such a sick society, we have reached such levels of insanity that we cannot we have we cannot even distinguish between the sin and the insane.

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doctors who have any Iza doctors who have any dignity doctors who have any pride of the approach of their profession should be seriously insulted.

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You should feel completely and totally insulted, insulted to the point that you should do physical violence to the man or the woman who gives you this target. I'm not asking you to do the violence. I'm saying you should be at that point. When you say I if I could I would have I would have slapped you in the face. How do you give me a commercial target? I am a doctor.

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How do you tell me that my success or failure in this hospital depends on how much money I can make for the hospital. This is an insult to me professionally. It's an insult to me personally, this is what must happen.

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But on the contrary, what do we see? Do we see people taking offense? No?

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No. So ask yourself when your hospital gives you a commercial target? Are you offended? Are you not offended? Go look in the mirror. Go look in the mirror. Don't be offended with me. I didn't call you that. You are calling yourself that.

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If you are not offended when a hospital gives you a commercial target, go look in the mirror and ask yourself who is this? Who am I?

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Second medical malpractice

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pharma companies giving commissions and incentives

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gifts. And These range from diaries and pens, to fancy dinners in fancy restaurants to cruise to fancy Holidays to you name it.

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And they give it to you. There's a famous story and a hadith from the Sierra. Where as soon as salam sent some people for galactic collection of Zika and a man came back and he said to me, sir solemn. This is the Zakat and this is a gift that I got and these are some gifts I got from the people they gave it to me personally.

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Now is Allah Allah ascended the member, and he said, as that man if those people would have given him the gift, if he was living in the house of his mother and father without this job.

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is the gift to you.

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These are gifts to you.

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You got the gift because of who you are You got the gift because of the position that you are in. You didn't get the gift because the guy loves your face.

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Or ask him Did he get this would he have got this gift would the people have given him this gift? If he was living in the house of his mother and father without his job? And then he pronounced a fatwa and he pronounced the ruling and from the lobby. It is a it is a it is a Hong Kong it's not a fatwa.

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He said if a person takes his or if a person is in a public position

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And if he takes anything other than the allowance that has been given to him which is a salary, salaries, but whatever else he gets is haram for him.

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Now put yourself in that position and ask yourself as a as a physician, do you think you're the pharma company would have given you these gifts? If you are not a doctor? Do you think the pharma company will give you this gift if you if you prescribe, as a rule, everyone else's medicines except that pharma companies? Do you think the pharma company will give you that gift if you are not a doctor in this fancy hospital that you work in?

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Remember that these questions will be asked to you on the day of judgment when you stand before a lawsuit.

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So answer for yourself. You don't have to convince me and nobody, you have to convince your

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medical malpractice, diagnostic centers giving kickbacks.

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And this has been reduced to this has been developed to such a fine art that I've been told that you do not even need to send a patient to a particular diagnostic center in order to get a kickback.

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For example, you are an honest doctor. And you're you send your patients and you say well get a CT scan, the patient goes he gets goes for a CT scan, he goes for a sonic scan he goes for for an X ray or whatever, right? So your patients go 1234.

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Now you didn't tell them go to diagnostic center X or Y you said go get one. Why should I go go anywhere? No, Bro, I need that I need the report.

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I am told that after a few of these, the diagnostic center guy will come to you with cash. And he will say this is your commission, my commission.

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Why am I getting a commission? I didn't send people to you knows about you see people came to us. And obviously we asked them which doctor sent you. So they gave you they gave you a name. So we've got three four people who came to us so therefore this is our thanks to you. Our expression of thanks to you here is our money.

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They are they are

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inculcating corruption.

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Now you want an honest person until you send them. But the minute you take that money, it's gone down the drain. Diagnostic center. Last one, once again, the hospitals that you work in. Obviously, I'm not saying all hospitals are bad.

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But all the ones that I have come across are bad.

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And I have not come across all the hospitals in the world obviously. And I know that there are good hospitals and hamdulillah. But all the ones that I have come across. And again, I'm not going to name them here. But

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I can talk about all the major big names that I that I know.

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They're all in the same boat. And what is that needless hospital hospitalization, needless treatment, needless investigations, needless expensive medicines. And I'm going to tell you two personal stories that happened to me in the course of this conversation, my submission to you, my dear brothers and sisters, doctors.

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In all of these things in all of this medical malpractice, whether it is hospital with commercial targets, whether it is pharma companies giving kickbacks and commissions and incentives, whether it's diagnostic centers giving kickbacks or whether it is needless hospitalization and so on, the doctor is the key decision maker. At the end of the day, the doctor has to say yes or no,

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unless the doctor prescribes unless you prescribe Nothing will happen.

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Unless you accept Nothing will happen.

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Therefore, you are responsible.

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Make no mistake, you are responsible.

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And the patient pays the price.

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The patient pays the price.

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So let me tell you two stories. I had a hernia.

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I actually had an appendix which needed to be removed and it was at a final stage. So some of the fluid leaked out and therefore I had an incisional hernia. And they put a mesh over that.

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And then something happened to the mesh. So I was taken in

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to repair that mesh. So it wasn't even a hernia operation as in the right in the beginning. It's just a repair of the mesh or maybe put another mesh as the case might be. I went to one of the or rather the number one top hospital for gastroenterology

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in my city

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One of the first things they did, the first thing they did was an angiogram.

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angiogram for a hernia when I have no history whatsoever of any cardiac issues, no hypertension, no nothing. They did it.

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And obviously, it came completely clear no blockages anyway,

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the report of the angiogram said, but the blood is flowing a little slowly. So as the doctor said, you want there to be a storm in my veins or something. I mean, what do you mean blood is flowing slowly. So he laughs at me and he says, Well, we have to write something.

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Right, so an angiogram, then I was taken in, I was operated. And next thing I know, I'm in the ICU with a riles tube up my nose.

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And with the most excruciating migraine that I've ever had in my life,

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and the pain just won't go away. So I am in this ICU.

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My family is not allowed to see me. Nobody, there is a camera there. And I am allowed to talk to my family a couple of times a day through that camera and they can see me or see me on our TVs, all kinds of

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technological nonsense. But this pain won't go away. So when I told them, Look, I I'm suffering, it was absolutely horrible. I was like seeing stars, it was so bad. So they gave me 14 injections.

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They gave me massive painkillers for the injections they gave me through the day, they gave me about three or 414 injections at six hour intervals. But the pain won't go away. One day pass, two days pass three days passed. On the fourth day, I was ready to commit murder because there was really nothing wrong with me. So I called the nurse and I said either get me out of this ICU. Otherwise, I'm going to rip this thing out of my nose. And I will hand you with this.

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So she called the doctor.

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And literally within minutes, they took out the aisle stoop. And they pulled out a needle from the base of my spine. And my migraine vanished. instantly. It was like turning a switch off.

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So I said what happened with Eric? He said, Oh, no, but that headache was because of the needle in your spine.

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I said and you're giving me 14 injections.

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Why did you have the needle my spy they said oh, what you see just in case we needed to give you something intravenous. So I said you put a needle in my spine. You know what the reason for the headache you are given me for when injections medicating me beyond belief in an ICU for four days

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for a hernia operation.

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Then they took me to a private room. I was there I was kept there for another 10 days.

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And then because I made a big noise

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they reduced some amount from the bill.

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But I still had a six figure bill

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by the time I exited the hospital. And it so happened is Allah subhanaw taala. I was discharged one day before my father died. I was discharged in the next day my father passed away.

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And I'm saying 100 of the time because it was my father's wish that I should do his janazah and and to do his his last rites. And I was able to do that. But to my deep regret, I could not enter his grave and put him in the grave because I was just out from a hernia operation. They said you cannot lift weights, you cannot bend down.

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But it is also an idea it is allowable janazah and so on and so forth.

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personal experience of what happened to me not here I can tell you 1000 stories of hearsay, I'm telling you my personal experience. second story.

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My father's as I told him my father was a surgeon. My father was a physician himself.

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He started having a problem. He was about 76 years old at that time 76, about 78 years old at that time. And he started having a problem of pain in his spine and he progressively the distance that he could walk reduced until he could walk only, you know, maybe 20 2030 feet and then he had to sit down otherwise the there was a lot of pain. Now, we took him to a neurologist. The neurologist looked at him examined him, told him to stand up and jump he jumped, told him to jump on one leg and he did that hop on one leg, hop on the other leg. And then the neurologist said can I lose my witness? The neurologist said to him, he said doctor, you are 78 years old. There is really nothing

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that can be done.

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This is with you for life.

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Is it just when it gets too bad

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some painkillers, it's a degenerative thing, there's nothing that can be done. It's because of the the vertebral vertebra have become closer. So there's some pressure on some nerve and so on. So what you are 78 years old, you've got history of hypertension, you've already had three heart attacks. We don't I don't think there is any surgery that needs to be done, or should be done. And anyway, nothing is going to change. So just take some painkillers, when it gets bad, you are a doctor yourself, you know the situation. So he said, that's the end of the story. So I said 100 in law, at least Finally, we found a honest Doctor Who can say it like it is.

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Now, that's where the story begins a

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couple of days later, we had pressure from the family. And this is of course, what happens to us also.

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I don't blame doctors for that. That's our own insanity, where we seem to lose our and that's why I said it's a relationship of trust. Because with a doctor, you lose your own intelligence. You trust the doctor so completely, that you never ask any questions, which you really should have asked. So this entire responsibility of what happened and which I'm going to tell you is were entirely rational my shoulders. And well Forgive me for that. Anyway.

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There's pressure on the family, there's no no let's go to another doctor's one. So what so we went to another one of our big name hospitals in my city.

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They took us to a neurosurgeon, we had gone to a neurologist neuro physician, which took us to a neurosurgeon, young guy recently qualified from the US and so on and so forth.

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For with American accent, just in case you didn't believe that he was qualified for the US.

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The minute he saw my father, the minute he saw the reports, he said, You have to be operated emergency, I'm going to book you now and we will operate on you at 6am tomorrow morning.

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So my father said, I am on a blood thinner, because of my hypertension and so on. Normally, we give a 72 hour gap before we do any surgery. He said Doc, don't worry about that. That's all stuff will take care of all that.

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Tomorrow morning and right now admitted the hospital now and tomorrow morning 6am surgery.

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So I said to them, I said here is the neurologists report.

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He looks at the numerologist and he says he picks up the phone he calls him Guess who walks into the room? The same neurologist, the guy walks to the same hospital.

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Next room.

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He walks into the room. So now what do I expect? I expect the neurologist to tell my father and me and the neurosurgeon what he told us when we met him personally.

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But what does he do?

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He says no, that's what the neurosurgeon is saying is correct. So there is required.

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What is it yesterday you told us that surgery is not required? Two days ago, you told us it is not required? He said Oh no. But you see the neurosurgeons opinion is fine.

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Now, we are insane. admit to insanity.

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We should have said the whole bunch of you are crooks. And we should have walked out of the place. We did not.

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We did not. So my father got admitted.

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As I'm telling you religions have a relationship of trust. My Father Himself was a physician, he should have been the first person to ask the questions. He didn't ask. I didn't ask.

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He got admitted next morning operated.

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When you're going into the operation, this guy tells me the neurosurgeon gives me this long spiel about how the chances of success he said there are there is a

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990 percent chances of success but 10% chances of failure which means that your father can be one of those people who might die on the on the table and so on. I said don't worry about all that you just do your job inshallah life and death is not in your hand is the hand of Allah subhanaw taala when he has to die, he will die. And if it is not today, it's not today, so you do your job.

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They did the operation. My father came back out they showed us the incision on on his back. It was 18 inches long, huge long incision, beautifully sutured

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came. He was in the post operative care for a couple of hours then he came to the what now

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all well.

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That night. My we were taking turns to stay my brother. It was my brother's turn. My brother stayed in the hospital a

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couple of days past. The doctors came and said Wow, he's healing beautifully said oh doctor, you know what you're healing like a baby. This is fantastic. Somebody of your age, you're healing so fast. And so fantastic. And all this

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at the end of the thing, we again, pay

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a six figure bill. And we And incidentally, one night my wife was staying there. And two o'clock in the night, the hammer on the door. And when she opened the door, there is a hospital administrator who says, you have to pay 50,000 rupees. She said what she said, he says up to now this is the bill. So she said this is two o'clock in the night, you've got a patient who's been operated here.

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And you're waking me up in the night for the I know you have to pay now. She's I don't have you 2000 rupees. He says there's an ATM across the street, you can go there and you can get the money.

00:30:38--> 00:30:40

So my wife slammed the door shut in his face and she said get out.

00:30:44--> 00:30:50

So that's part of the part of patient care and part of medical care. Anyway, we came back home.

00:30:51--> 00:31:05

Nothing happened. My father, my father remain as it was. His walking distance did not increase. Eventually, a few months later, he became almost completely

00:31:06--> 00:31:22

bedridden in a wheelchair. If he had to go anywhere, otherwise he could just barely get up from his bed and sit on a chair. And then finally about a year or so into that. My father passed away. He died a

00:31:25--> 00:31:34

couple of days after that. A couple of weeks after that my brother and I were sitting and talking about this whole thing and my mother said to me, he said you know something funny happened, which I never mentioned.

00:31:36--> 00:31:39

He said the day when I was staying in the in the ward

00:31:40--> 00:31:41

with Papa

00:31:43--> 00:32:11

nine the ward is in the private what is the bed of the of the patient and there is another bed for the caretaker. So my brother said I didn't want to be on that bed because in case he calls in the night or something and I am fast asleep because he had just come from the USA, he was jet lagged. So he said I don't want to be so I he said what I did was I took the mattress and I put it right next to his bed on the floor. So is the bed is here. My brother sleep sleeping here on on the floor like this. He said in the night, Papa rolled over and fell on top of him.

00:32:13--> 00:32:50

Now this is a patient with spinal surgery, the surgery that they said he was going in for they said what are they going to do? Why should I mentioned this earlier, they said what we are going to do is we are going to in cut the lumen of the vertebra the whole of the vertebra. Now He then said it has grown so that the spine is like this. He said it's become closed like this, they're going to cut it so it becomes open. So there is more space around the spine. And they won't do that with a number of vertebra that word of apparently effect. It's a highly complicated operation. With a spine in the middle of the spine is damaged, you can get paralyzed.

00:32:52--> 00:33:23

Completely paraplegic, I mean in terms of his of his body. So this was the operation supposed to be that they were going to cut it, each vertebra cut it like this one by one and open up the whole thing and then put it back. So this was the operation of the spine. highly complex, very complicated. So my brother says that here is man who is supposed to have had a spinal operation. He said he fell on top of me. And without thinking he said, I just woke up with a shock. And then I picked him up and I put him back in the bed.

00:33:24--> 00:33:25

That's it.

00:33:27--> 00:33:36

He said my father never said if he never said he never complained of any pain, there was nothing. Absolutely It was like, you know, I'm autoanything

00:33:37--> 00:33:39

brother says what did they do?

00:33:41--> 00:33:42

What did they do?

00:33:44--> 00:34:03

Now I'm telling you, I don't have the evidence. But on the Day of Judgment insha Allah almost and my rub will show what happened. I believe that all they did was they cut the skin. They just made a sub cutaneous incision, this cut the skin and this tissue back.

00:34:04--> 00:34:05

That's all there is.

00:34:10--> 00:34:18

Because they knew nothing could be done. They didn't want to take chances with a 78 year old patient with a spinal surgery with a heart

00:34:19--> 00:34:34

history where they had not even stopped his his blood thinner. They didn't want to take any chances with that. So all they did was they cut the skin the stitches up the charges for spinal surgery, and they sent him home. This is what I will as I told you, I have no evidence

00:34:36--> 00:34:46

but all circumstantial evidence, points to this and inshallah on the Day of Judgment. I'm going to be looking forward to seeing those doctors before the throne of barab.

00:34:48--> 00:34:49

To see what they did.

00:34:51--> 00:34:54

My brothers sisters asked you

00:34:55--> 00:34:59

I use some strong words. When I talked about commercial targets in hospitals that tell me

00:35:00--> 00:35:01

In the light of this others word strong

00:35:07--> 00:35:09

the law now what is the law very quickly, let's go into that.

00:35:11--> 00:35:29

And the reason I'm going into this is because of a second tragedy. And that second tragedy is that is being brought by notice that people who should know better scholars of Islam, or so called scholars of Islam, because somebody who graduated from others, according to me is not a scholar of Islam.

00:35:30--> 00:35:54

Without tarbiyah, without working on the internal on the heart, and without gaining understanding knowledge in the way of knowledge, you don't become a scholar, you read a few books, you don't become a scholar of Islam, anyway, is brought by notice that there are some people, one particular one, obviously, and some others who are giving fatawa and somebody who's written a book, also

00:35:55--> 00:36:12

legalizing and saying that it is legal islamically it is permitted, to take commissions to take kickbacks to take so called incentives from pharmaceutical companies, from diagnostic centers and so on. Now,

00:36:14--> 00:36:19

I want to say to this one thing, which is that bribery is illegal.

00:36:21--> 00:36:45

The law, Islamic law, as well as the law of this country, and the law of every civilized country that I know the law in the US the law in Australia, the law in the UK, every civilized country that I know. The law is the same all over the middle east the law is the same and and that is that bribery is corruption and bribery is illegal.

00:36:49--> 00:37:01

proofs, no matter who gives you what fatwa please understand one thing a fatwa is a legal opinion. It is the opinion of a lawyer.

00:37:02--> 00:37:14

It is not a ruling. It is not a judicial ruling. The fatwa does not change the law. All the fatwa does is that it tells you this particular man or woman's interpretation of the law,

00:37:15--> 00:37:17

whether it is income tax,

00:37:18--> 00:37:29

whether it is sales tax, whether it is Islam, whatever it is a fatwa is only a legal opinion, is telling you I believe that this can be done.

00:37:30--> 00:37:31

Does it change the law?

00:37:32--> 00:37:34

It does not change the law. The law is the law.

00:37:36--> 00:38:25

If all the people who are giving fatawa collect together in the world, and give a fatwa to say bribery is legal, it does not make it legal bribery still remains illegal because Mohammed Rasulullah sallallahu Sallam made it illegal because Allah subhanho wa Taala made it illegal. So all of these practices have unnecessary hospitalization of commercial targets to doctors have kickbacks or incentives from diagnostic centers from pharma companies, gift from pharma companies and gifts from diagnostic centers and hospitals and so on. All of these practices are illegal. All commissions and incentives are bribes. All gifts to public servants are bribes. All bribes are illegal and haram

00:38:25--> 00:38:33

and the curse of Allah subhanho wa Taala is on the one who gives and takes a bribe. Let me give you evidence

00:38:36--> 00:38:59

in a holidays in Santa Monica and Muslim Imam Ahmed, which is authenticated say by Shaka Zulu albani Abdullah Allah and who is is reported to have narrated from Roswell Isola Salaam who was reported to have said the meaning of which is the curse of Allah is upon the one who offers a bribe and the one who takes it

00:39:01--> 00:39:14

I repeat, Rabinovich Allah Salim said as reported by Abdullah in our are they allow the curse of Allah is upon the one who offers a bribe and who takes it

00:39:18--> 00:39:52

the second one is the Hakama Rasul Allah Allah Allah to stop evil. I will say the hora de alano narrated from Rasulullah sallallahu Sallam who said the meaning of witches, Whosoever amongst you sees an evil, let him change it with his hands. And if he is not able to do that, then let him change it with his tongue. And if he is not able to do that, then let him hate it in his heart and that is the weakest of faith. And this had this is also so you have these as authenticated by shahabad.

00:39:54--> 00:39:56

This is what I am doing now.

00:39:57--> 00:39:59

I am witness before I hold my rub my way

00:40:00--> 00:40:18

witness that I have raised my voice against this evil of medical malpractice, which has become rampant and endemic and epidemic in this country of ours. And very sad to say Muslim doctors are involved up to their necks and over their heads.

00:40:19--> 00:40:39

And therefore before Allah subhanho wa Taala I'm wanting you get out of this. If you have dig and commissions, calculate the amount of money that you received and give it away in charity. Otherwise you're eating haram and I warn you that your rubs punishment will descend on you. Make no mistake about this.

00:40:41--> 00:40:43

Make no mistake about this third point.

00:40:45--> 00:40:55

gifts to officials are bribes as I mentioned to the Hudson wizards alum from Sierra and other Hades which is against

00:40:57--> 00:41:09

Abu Hamid as it reported from Eliza Salah who said gifts offered to public servants are ill gotten gains they are bribes, which is called Hulu

00:41:11--> 00:41:15

who is a public servant? You doctors are public servants.

00:41:16--> 00:41:53

Anyone in the public space does not necessarily have to be employed by the government. Anyone in that public space is a public servant. Gifts received by you are received by you because of your position. Not because someone likes your face. If it's a personal gift from you, to you by your son or daughter by your wife, by all means please take it by a friend of yours all means please take it but if it is a gift that is given by a pharmaceutical company, by a diagnostic Center by whoever remember, I am not getting those gifts. You are getting those gifts.

00:41:56--> 00:42:05

You are getting those gifts not because the guy loves you. But because of your position and that gift that that makes that gift completely and totally haram

00:42:09--> 00:42:40

another Hardee's in Abu Dhabi, again authenticated by shell Barney, Bora Bora ma al Jose Rolando narrated that also lies Allah Sallam said the meaning of which is when we appoint someone to a public position and provide him with an allowance meaning salary, anything he takes beyond that is an ill gotten gain anything. Once he has been appointed to that position, if he takes anything other than that, it is an ill gotten gain.

00:42:41--> 00:42:44

And this is add this in Abu Dhabi. And he says I have this

00:42:46--> 00:43:37

final one. People who do that will go to Johanna. Obviously if someone has the curse of Allah on him, Where else do you think he will go? How will I mean the amor radi Allahu Allah rewarded from Roswell is Allah Salah, who said the meaning of witches, some men abuse Allah subhanho wa Taala has property, meaning public money and funds, some men abuse Allah subhanaw taala his property, he said, they will go to hell on the Day of Resurrection. Now is Allah salam, Musk passed this rule and his hokum, and he said that they will go to jahannam, on the Day of Resurrection, ask her this question. How would you like to be in the care of a doctor for whom you were the first and most important

00:43:37--> 00:43:41

priority? How would you like to be in the care of a doctor

00:43:42--> 00:44:10

for whom you were the first and most important priority? Second question, how would you like to be in the care of a doctor who was interested only and only in your welfare? ensuring that you receive the best care in the most compassionate way? And at the lowest possible costs? How would you like that? That is medical ethics.

00:44:11--> 00:44:39

There is a big misconception in the minds of some doctors, where when you go to a hospital, they ask you, I do have insurance. And if you say you have insurance, then they will prescribe the most expensive medicines for you. They will prescribe all kinds of scans and stuff that you don't need, and they will, they will prescribe ICU care and all kinds of expensive medical care. And their logic is that the patient is not paying for it. The insurance company is paying for it. So what do I care?

00:44:40--> 00:44:41

Again, as I told you,

00:44:42--> 00:44:51

two things First and foremost, no matter what you prescribe, no matter who's paying, the patient has to undergo that treatment. So the patient is suffering anyway.

00:44:52--> 00:44:59

Doesn't matter who's paying. If you send him for a scan, he does not need then he is being exposed to radiation. He does not need

00:45:00--> 00:45:35

When you send him for medical treatment he does not need he is the one swallowing those pills, he is the only one getting those shots. He is the one who's doing that. So the patient is suffering anyway. And number two, the point that I made before, which is that in the end, whether it's the insurance company, whether it's whatever, it all comes down to the patient, that is why insurance costs are so high, because at the end of that, the patient is still paying, the patient is paying that insurance cost all his life, so that he can come to the hospital one day and be prescribed all kinds of nonsensical treatment he does not need. If that treatment was not like that he would not

00:45:35--> 00:45:59

even need medical insurance, because he would be able to afford whatever medical care he needed, because it would be so cheap. So in the end, the patient still pays and you are responsible, whether or not you prescribe it, because a company is paying or you prescribe it, because the patient is paying either way, you are responsible, and the patient is paying. So the question I asked you first, how would you like to be

00:46:01--> 00:46:08

in the care of a doctor for whom you come first? Ask yourself this question. That is the root of medical ethics.

00:46:10--> 00:46:17

My brother and sisters, I want to end with another story. The story is about a young

00:46:19--> 00:46:24

doctor who's in his house surgeon ship hasn't graduated yet.

00:46:25--> 00:46:35

How surgeon ship about two o'clock in the night a patient comes in. He's brought in his grievously injured somebody stabbed him in the stomach and turn the knife like that.

00:46:37--> 00:46:50

So he was involved in some Baraz brawl or something. The guy stabbed him and turned the life like that. So he's inside is is is a mess is interesting is cut in multiple places. His stomach is perforated.

00:46:52--> 00:46:53

The patient comes in

00:46:54--> 00:47:12

is taken straight into emergency. They call the surgeon because this is too much for the house surgeon for the guy who's doing house of worship. Even though he's technically a surgeon, he does have surgery but he's you know, a young guy who's just about to be qualified. So they call the surgeon

00:47:13--> 00:47:15

the surgeon says, open up,

00:47:16--> 00:47:19

give him an open up prepare for surgery. I'm coming

00:47:20--> 00:47:43

around 230 or so. The surgeon comes in. What does he see when he comes? He sees the patient his incision has been made the patient is opened up and the inside is a mess. It's full of feces and it's you're in everything. intestine is in pieces. It is a mess completely. The surgeon takes one look at that.

00:47:45--> 00:48:06

Who's the patient, some guy is unknown some maybe a worker somewhere or Russia or something I mean some poor guy who's got who's nobody. He takes a look at that. He takes a look at the mess that is there. And he says close him up he will die anyway Forget it. And he walks out.

00:48:11--> 00:48:18

So now there are three people in the theater. The surgeon has gone we just came to one look and he says he will die anyways no point in doing anything disclose.

00:48:20--> 00:48:29

So there are three people in the in the theater. There is the surgeon, the house surgeon who's about to be qualified.

00:48:30--> 00:48:33

There is a theater nurse and there is the anesthetist three people.

00:48:35--> 00:48:37

The house surgeon asks them wizard

00:48:39--> 00:48:43

I got a question for you. If I decide to refer this guy

00:48:45--> 00:48:46

Are you with me?

00:48:48--> 00:48:49

Will you be with me?

00:48:51--> 00:48:54

They said we are with you do what you have to do.

00:48:57--> 00:49:14

So he starts working on it. Now imagine the kind of mess he's working on it is removing all the staff and he's teaching up an interest and by interest time it is a like a Taylor's job is teaching up stitching up stitching up putting a lot of gel and antibiotics and stuff. takes him six hours.

00:49:15--> 00:49:26

Imagine standing six hours bending like that back is like like on fire. It's so painful. Six hours of continuous surgery. The theater nurse and the anesthesia sister with him.

00:49:28--> 00:49:36

At the end of six hours surgeries over the week will the patient out and they go next morning nine o'clock.

00:49:37--> 00:49:38

Surgeons rounds.

00:49:39--> 00:49:43

post operative care, the surgeon comes comes to this bed

00:49:44--> 00:49:46

looks at the K sheet

00:49:51--> 00:49:52

who this guy

00:49:54--> 00:49:56

is the same guy who was there last night

00:49:59--> 00:49:59

So you decided

00:50:00--> 00:50:02

To operate on him and clean Amazon. Yes.

00:50:04--> 00:50:05

Good job,

00:50:06--> 00:50:06

God.

00:50:09--> 00:50:10

That patient lives

00:50:15--> 00:50:17

that patient lift.

00:50:22--> 00:50:25

This happened in 1954

00:50:28--> 00:50:31

Madras Medical College Hospital.

00:50:37--> 00:50:38

And that's

00:50:39--> 00:50:39

the

00:50:41--> 00:50:41

job

00:50:43--> 00:50:44

of my father.

00:50:56--> 00:50:57

I told you I want to close with a story.

00:51:00--> 00:51:01

So ask yourself

00:51:04--> 00:51:07

how would you like to be in the dark?

00:51:08--> 00:51:14

of all those you help through their pain and to their sickness and suffering?

00:51:15--> 00:51:16

Or alternatively,

00:51:18--> 00:51:27

how would you like to be cursed by all those who are victimized and you're deceived, and you exploited and you abused?

00:51:29--> 00:51:32

My brothers and sisters, doctors,

00:51:33--> 00:51:34

choose wisely.

00:51:36--> 00:51:39

Because the choice is yours, yours alone

00:51:42--> 00:51:49

and to help you make the choice, remember this ayat of Surah aluk. Which Allah subhanaw taala want

00:51:50--> 00:51:54

and he said, Allah, Masha Allah, Allah.

00:51:56--> 00:52:04

Allah May Allah, Allah, Allah, Allah said, Doesn't he know that Allah is watching?

00:52:05--> 00:52:06

Doesn't he know that Allah is watching?

00:52:10--> 00:52:11

Don't you know that allies watch?

00:52:14--> 00:52:58

Ask Allah subhanaw taala to give you risk and halaal and Baba, to give you halaal risk and ask Allah subhana wa Taala to clean your hearts from greed. I ask Allah subhanaw taala to save you from those who choose to deceive you because of what they get from you. Ask Allah subhanaw taala to protect you from the curse of people, which nothing can protect you from if you die with that curse on the Day of Judgment. ask Allah subhanaw taala to make you examples of the beauty of Islam in the profession, which is an honorable profession. And my request to you is do not dishonor that profession.

00:52:59--> 00:53:01

Do not dishonor that professional

00:53:02--> 00:53:05

was Bill curry while he was abused by the erotica.