Tuesday, December 09, 2025
Sunday, December 07, 2025
A mysterious rose survived Hurricane Katrina
Friday, December 05, 2025
Wednesday, December 03, 2025
Monday, December 01, 2025
A Persian saying
ویران شود آں شہر کہ میخانہ ندارد۔
Saturday, November 29, 2025
Happiness and physiology
Thursday, November 27, 2025
Dr. Kolhouse and the Cowboy
“This guy has probably spent more nights sleeping under the stars than under a roof. I’m not sure he’d ever seen a doctor before he was diagnosed.” Dr. Kolhouse went on, “Just imagine that. You see a doctor for the first time, and he tells you you have a cancer on your penis. A few months later,” he said, shaking his head, “we’ve cut it off, and now we’ve got him locked up in a hospital dripping poison in his arm.”
The cancer was advanced when it was diagnosed and had since spread widely. This chemo regimen was the cowboy’s last option. It might buy him some more months, Dr. Kolhouse explained, but it would not be curative.
We moved on to other patients. Like the cowboy, most of them were there for chemotherapy, since routine outpatient infusions were still some years away. After we’d finished reviewing the patients, I made my own rounds to meet them all.
The cowboy was sitting on the edge of his bed when I entered his room. His back was straight, his hands resting palm down on his thighs like he was preparing to get up and go somewhere. The IV pole at the head of his bed held a bag of fluid with a single tube extending down to his left shoulder where it disappeared under his gown. He had cinched the ties of his hospital gown tightly in the back so it was drawn closely across his neck. Draped over a chair were a pressed pair of Wrangler jeans and a plaid Western shirt with white piping and pointed yokes. His boots sat neatly in front of the chair, and a gray felt cowboy hat rested on the bedside table. In place of boots, a pair of hospital-issued foam slippers covered his feet.
I introduced myself, explained my role on the team, and asked how he was doing. He answered my questions succinctly, calling me “sir” even though he was 15 years my senior.
“How are you feeling?”
“Fine, sir.”
“Is there anything you need? Anything I can do for you?”
“No, sir.”
As we spoke, I noticed a few more details. Across his forehead was a line. Above it, where a hat might sit, the skin was fair and smooth. Below that, his skin was dark, lined, and weathered. His dark hair was still damp from the shower and had been combed straight across from right to left — the teeth of his comb had left furrows running perpendicular to the part.
Despite my best efforts to engage him, our conversation was brief, and I soon left his room to make my way around the rest of the ward.
In the days that followed, I tried everything I could think of to get him to open up but had no luck. I never got more than a few syllables out of him, followed by a “sir.” Open-ended questions about his life and interests drew short, unrevealing answers. He had no complaints and no questions and was always sitting on the side of the bed in the same pose whenever I entered his room.
Toward the end of the week, Dr. Kolhouse threw out a new detail about the cowboy. “Did you know that he’s never been to the National Western?” he asked, shaking his head and chuckling. “He’s lived his whole life less than 100 miles from here, and he’s never been. Not once.”
New to Denver, I knew little about the event. Dr. Kolhouse explained that for nearly a century, Denver had hosted the National Western Stock Show. For 2 weeks every January, ranchers and cowboys from throughout the country would bring their prize livestock to Denver for show and auction and to watch the world’s best rodeo riders compete. Opening day was the next day, and it was a really big deal.
“I can’t believe it. It’s like living next to Mecca and never making the Hajj,” Dr. Kolhouse chuckled. “People come from everywhere for this, and he’s never been. It’s like cowboy heaven — like their best day ever. And it’s in his backyard!”
The cowboy was fully dressed when I knocked on his door the next morning — Wranglers, boots, Western shirt. The hat was on the bed, and he was putting a few stray items in a plastic bag. The IV was unhooked, a half bag of chemo still hanging on the pole.
“What’s happening?” I asked, knowing he had several more days of chemo scheduled.
“I’m going to the stock show,” he said flatly. He reached into his breast pocket, fished out two items, and held them out for me to see. One was a ticket to the National Western Stock Show. The other was a crisp $100 bill.
“That doctor came in this morning and gave these to me. He said there’d be a cab out front to take me over there” — he paused and looked up at the wall clock — “in about 10 minutes. I gotta get moving.”
“Which doctor?” I asked, though I thought I knew.
I shook his hand, wished him well, and watched him walk down the hall to the elevator, his hat tucked under his arm as his boots clacked on the polished floor.
Later that morning during rounds, Dr. Kolhouse paused by the cowboy’s empty room. He stepped into the open doorway and leaned against the sill. “Most people will take more days if you offer them. Our job is to be honest and do our best to let them know what those days will cost them. It’s one thing to give up a few days or even a few months of your life for a chance at a cure or a long-term remission. It’s another entirely if you’re just trading a few good days now for a few not-so-good days later. And if what you’re giving up is something really special.…” He paused as he looked over his shoulder into the room. “Well, if you’re giving up something special, you really need to be getting something great in exchange.”
Dr. Kolhouse shook his head. “We weren’t doing him any good.” He shifted his weight off the doorsill and moved into the hall. “No good at all.” He turned, walked to the next patient’s room, and resumed our rounds.
I never saw the cowboy again. Several months later, I stopped Dr. Kolhouse in the hall and asked what had happened to him. The cowboy, I learned, had recently died in a small Wyoming hospice, looking out on the chaparral he’d wandered through his whole life. Since that January morning, he hadn’t stepped foot in a hospital and, according to Dr. Kolhouse, hadn’t received “a molecule more chemotherapy.”
Dr. Kolhouse smiled and ignored the solitary tear that slid down the side of his nose. “You know, he was riding horses right up to the end, that guy.” He shook his head and chuckled. He nodded at me, said how good it was to see me, and walked away with the stride of a man in the midst of a good day.
Over time, I learned that Dr. Kolhouse’s care of the cowboy was the rule rather than the exception. His attention to each of his patients was deep and personal. He had an uncanny knack for uncovering the things that mattered most to them and took great delight in discovering the small details of their lives that revealed their character and each one’s unique definition of a good day. In the month we spent together, I never discovered a personal detail about one of our patients that Dr. Kolhouse didn’t already know. His secret, in part, was time and attention. He sat down alone with each patient every day, often early in the morning. His affinity for people with calloused hands and modest means and his tendency to beat everyone else to work each morning were perhaps unsurprising in an Indiana farm boy who had once finished his chores before school each day.
The greatest measure of his devotion to his patients, though, may have been his honesty about what each of them faced — and what he could realistically offer. His commitment was always clear: to ensure that each of his patients lived as many good days as they possibly could…even when that meant paying for them out of his own pocket.
Tuesday, November 25, 2025
Avocado and Salt
(By Dr. Grace Yi, M.S.P.H.)
The first time I saw a man die in a trauma bay, it looked kind of like it does in the movies. He died gruesomely in front of his wife and teenage son, amid a flock of medical staff who’d come to rubberneck. Except the blood wasn’t fake, the family’s screams were real, and I didn’t know how to talk about it.
Notes
Sunday, November 23, 2025
Friday, November 21, 2025
Wednesday, November 19, 2025
Monday, November 17, 2025
A teaching strategy
عربی سے ترجمہ شدہ
Saturday, November 15, 2025
On irrationality of human mind to manage money
In 1971, Yale professor Martin Shubik invented a game that highlighted one of the most powerful psychological traps.
Thursday, November 13, 2025
Sex and Love making
"It was a good sex." - I quipped
Us ne bister pe lete lete cigerette sulgaya, aur kash laga ker boli:
- Jise tum sex kehte ho, main 'love making' kehti hun !!
Tuesday, November 11, 2025
Sunday, November 09, 2025
Friday, November 07, 2025
Father of thousands of orphans
| عبدالستار ایدھی صاحب سے پوچھا گیا کہ مغرب میں بے حیائی بہت ھے کنواری عورتیں ماں بن جاتیں ہیں - انہوں نے کہا شاید بنتی ہونگی مگر میں تو اتنا جانتا ہوں کہ ادھر پاکستان میں بائیس ہزار بچوں کی ولدیت کے خانے میں میرا نام لکھا ہے۔ |
Wednesday, November 05, 2025
On "Fallen Youths"
“Why are we worn out? Why do we, who start out so passionate, brave, noble, believing, become totally bankrupt by the age of thirty or thirty-five? Why is it that one is extinguished by consumption, another puts a bullet in his head, a third seeks oblivion in vodka, cards, and a fourth, to stifle fear and anguish, cynically tramples underfoot the portrait of his pure, beautiful youth? Why is it that, once fallen, we do not try to rise, and, having lost one thing, we do not seek another? Why?”
Monday, November 03, 2025
Sharpasand
Someone asked to see a Pakistani TV drama: Sharpasand as I love Nauman Ejaz. What a spontaneous actor he is.
Due to my work's heavy schedule, I was able to see only the initial 3/4 episodes - but I realized:
"Hum sab ke andar aik farasat ali khan rehta hai'
Saturday, November 01, 2025
Teacher
As someone beautifully said - and has been told in all cultures across the globe:
"A teacher is equivalent to a father, as he is the only person in this world who want to see you more successful than him or herself"
Thursday, October 30, 2025
Muhabbat ka hisaar
Suna hai,, bohat ziyada mohabbat bhi saamne wali ki jaan le leti hai
Aadmi kisi ke gird muhabbat ka hisaar zaroor rakhe, magar itna bhi obsessive na ho jayye ke agle ka dum ghut jaaye..
Tuesday, October 28, 2025
Messiah (vs doctors/physicians/providers/MDs etc)
Lately, as modern medicine has advanced, many terms have been invented for medical care providers. There is only one thing that distinguishes any medicine man or healer from run-of-the-mill physicians/providers..
"A Human Touch"
Unfortunately, now I see fewer and fewer doctors touching the patient. The warmth, healing power, connection, or even, call it a placebo effect—all have been lost in modern medicine by the loss of just one small gesture.
We are now more and more treating numbers, charts, labs, and computers. AI is making it even worse!
AH!
Sunday, October 26, 2025
Friday, October 24, 2025
He who stands up for an ignorant people...
Wednesday, October 22, 2025
Monday, October 20, 2025
There is no single ‘right’ answer
Carl Sagan once told his students in an assignment:
Saturday, October 18, 2025
Thursday, October 16, 2025
Tuesday, October 14, 2025
Sunday, October 12, 2025
Friday, October 10, 2025
Wednesday, October 08, 2025
Farz aur nafal
Ye duniya Allah Mian ke hoshruba bandoN se bhari paRi hai. Kal aik sahab farmaane lage:
"Farz to jun-tun dil kaRa ker ke paRh leta hun, magar asal namaz ka maza to nafal main aata hai! Farz chuTTi hai to chuT jaaye per nafal paRhte raho!"
Main ne poocha: Is baat ki kiya mantiq
Jawab mila: "Farz to dande ke zor pe hai, per nafal to khud ke dil se hai,, asal baat to wahi hui"
Monday, October 06, 2025
Two Kinds of People
There are two kinds of people in the crowd.
First, who wants everyone to know who they are. Second, who would prefer no one know them.
My bias is that the second type of people are deeper.
As Ghalib said:
Saturday, October 04, 2025
Thursday, October 02, 2025
یہ گزرے ہوئے لوگ، گزر کیوں نہیں جاتے
تاریخ کی قبروں میں اُتر کیوں نہیں جاتے
Tuesday, September 30, 2025
Guardian angels
You are lucky if, in your dominant hand, you have a line running parallel to your life line (sister line) at your thenar eminence (Mount Venus). This is your guardian angel. And, if it runs throughout your life line, you are super lucky.
- Aur jante ho ye guardian ángel kaun hote hain? ye tumhara koi buzurg hota hai.
Jis ghar se buzurg aur unki duain chali jaain, wahan se zindagi bhi ruth jaati hai - bohat akeli ho jaati hai!
Sunday, September 28, 2025
ملو ہا
ہفتہ، ۲ اگست، ۲۰۲۵ء
Friday, September 26, 2025
Wednesday, September 24, 2025
Badnasseb Kaandhe
Kitne badnasseb hain woh kaandhe - jin per kabhi kisi bachhe ne aankhain nahi mondi!
Monday, September 22, 2025
Saturday, September 20, 2025
Decisions
One thing I have learned from taking leadership courses from many gurus is that it's not the decision itself that matters, but how you live with it.
Thursday, September 18, 2025
Getting people up
During our residency, we learned about a legendary Pakistani resident who was fired not once, not twice, but three times from residency programs.
Accidentally, I was scheduled to interview him as a senior resident in my third year for his fourth time as a resident.
After the interview, I told my program director (PD), "I don't think he was fired prior due to any unethical act, but he is very dumb!"
My PD looked at me and said, "Now that he's got us, I guess this is our job to get him up."
Fast forward 30 years -
That Pakistani resident is a well-published professor of Cardiology in a highly esteemed University Program!
Tuesday, September 16, 2025
One needed addiction
The addiction to one relationship keeps a human away from many other addictions
Sunday, September 14, 2025
Friday, September 12, 2025
Wednesday, September 10, 2025
Islam's Greatest Stories of Love
I assure you, you will love this episode on PBS
Monday, September 08, 2025
Saturday, September 06, 2025
Thursday, September 04, 2025
On the right side of the history
۔ڈاکٹر علی شریعتی
Tuesday, September 02, 2025
chand gharian yahi hain jo azad hain
Saturday, August 30, 2025
A harsh truth of life
Well…. She has widely metastatic parotid cancer, and should have been dead months ago. I think the financial toxicity is greater than moral burden what social work or patient advocacy can offer.
(A text)
Thursday, August 28, 2025
Watch, Time and Living
I still kept the watch my father gifted me on passing metric exam
Every morning at 7:30, old Martin would open his tiny watch shop in the heart of the city. At 78, his hands were still the steadiest around. People said he fixed watches the way a healer tends to wounds—with infinite patience.

















