From 165 kg to 70 kg — A Story of Survival, Strength, and Transformation
For years, Amjad Younis from Mansehra carried more than just excess weight — he carried the physical limitations, health risks, and emotional burden that often accompany severe obesity. At his highest weight of 165 kg, even routine daily activities had become exhausting challenges. But today, Amjad stands at 70 kg, having achieved an extraordinary 95 kg weight loss, a transformation that has not only reshaped his body but completely redefined his life. The Turning Point After struggling with obesity and its associated complications, Amjad made the courageous decision to pursue surgical treatment. He underwent Maaz Modification of Roux-en-Y Gastric Bypass (MMRYGB) performed by Prof. Dr. Maaz ul Hassan at Shalamar Hospital, a procedure recognized for its effectiveness in treating severe obesity and restoring metabolic health. The surgery was not a cosmetic choice, it was a lifesaving intervention. A Journey, Not a Shortcut Now three years post-operation, Amjad’s success reflects far more than the number on a weighing scale. Bariatric surgery is a powerful medical tool, but long-term success depends on commitment, discipline, and lifestyle change — qualities Amjad demonstrated at every stage of his journey. Through adherence to dietary guidance, regular follow-ups, and a determination to reclaim his health, he steadily moved toward a future once thought impossible. Thriving — Not Just Surviving Today, Amjad is healthier, more active, and living a life free from the physical constraints that once defined his days. His story is a reminder that with the right medical support and personal resolve, even the most daunting health challenges can be overcome. Under the expert care of Prof. Dr. Maaz-ul-Hassan, patients like Amjad are not simply losing weight — they are gaining years of life, renewed confidence, and the freedom to dream again. A Message of Hope Amjad’s transformation sends a powerful message to those battling severe obesity: Change is possible. Help is available. And a healthier future may be closer than you think.
Urethroplasty Permanent solution to Urethral stricture disease.
For two years, a young man’s life was overshadowed by pain, discomfort, and emotional distress after a devastating road traffic accident. The injury left him suffering from severe urethral stricture disease — a condition in which the urethra becomes narrowed, making urination difficult and often impossible without medical assistance. His condition had become so complicated that several hospitals refused to perform surgery. He was forced to live with a catheter attached to his lower abdomen, connected to a urine bag. The physical discomfort was constant, but the emotional toll was even greater. Once active and independent, he felt helpless and deeply upset about his situation. Determined to find a permanent solution, he traveled from abroad to seek treatment at Shalamar Hospital, where he consulted Dr. Usama Nawaz. Dr. Usama is fellowship-trained in urethral reconstruction from the UK and has established a dedicated Stricture Clinic at the hospital, held every Wednesday morning. His expertise in advanced reconstructive procedures has brought new hope to patients with complex and recurrent urethral strictures. Unlike conventional treatments such as dilatation or repeated internal surgeries — which often result in recurrence — urethroplasty offers a permanent, long-term solution. This reconstructive surgery involves taking a small graft from the patient’s mouth (buccal mucosa) to rebuild and widen the narrowed urethra, restoring normal urinary flow. The patient underwent a complex urethroplasty procedure. The surgery was successful, and for the first time in years, he was free from the catheter and urine bag. There was no need for repeated dilatations or self-catheterization. Gradually, he regained his strength and confidence. Today, he stands back on his feet — both physically and emotionally. He has returned to work and resumed a normal, independent life after two years of suffering. What once seemed impossible became a reality through expert care and advanced reconstructive surgery. Urethroplasty is not just a procedure; for many patients, it is a life-changing operation that restores dignity, independence, and hope.
Emotional and Intimate Health During Menopause
Menopause affects not only the body but also emotional well-being and intimate health. These concerns are often underreported due to hesitation or lack of awareness. At Shalamar Hospital’s Menopause Clinic, women are encouraged to openly discuss all aspects of their health. Mood Changes and Anxiety Hormonal shifts can affect brain chemistry, leading to mood swings, irritability, anxiety, or even depression. Women with a history of mood disorders may be more vulnerable during this stage. Professional counseling, lifestyle adjustments, and medical support can significantly improve emotional balance. Sleep Disorders Insomnia and frequent nighttime awakenings are common during menopause. Poor sleep can worsen mood, fatigue, and concentration problems. Establishing regular sleep routines and addressing underlying causes such as night sweats can improve rest quality. Vaginal Atrophy and Painful Intercourse Reduced estrogen levels can cause thinning and dryness of vaginal tissues, leading to discomfort during intimacy. This condition, known as vaginal atrophy, is treatable with medical therapies and supportive care. Reduced Libido Changes in hormones, stress, and physical discomfort may reduce sexual desire. Open communication with healthcare providers allows women to explore safe and effective treatment options. Cognitive Changes Some women report forgetfulness or difficulty concentrating, often referred to as “brain fog.” While usually temporary, persistent cognitive concerns should be evaluated. Compassionate Care for Every Stage Menopause is a natural life transition, but its symptoms can vary widely from woman to woman. Seeking medical advice ensures that symptoms are managed safely and effectively. The Menopause Clinic at Shalamar Hospital provides comprehensive assessment, counseling, and treatment options to support women through this important phase of life. Women deserve comfort, understanding, and expert care at every stage.
The Importance of Good Nutrition for a Healthier Life
A Patient Guide from Shalamar Hospital Good health begins with proper nutrition. The food you eat every day affects your energy, immunity, heart health, digestion, and overall well-being. For patients managing medical conditions or trying to improve their lifestyle, balanced nutrition plays a key role in recovery and long-term health. Unhealthy eating habits have become common. Processed foods, sugary drinks, irregular meals, and large portion sizes contribute to obesity, diabetes, high blood pressure, and heart disease. The positive news is that small and consistent changes in your daily diet can lead to meaningful improvements. Why Nutrition Matters Your body needs essential nutrients such as carbohydrates, proteins, healthy fats, vitamins, and minerals to function properly. These nutrients help strengthen the immune system, maintain a healthy weight, support heart and brain function, improve digestion, and promote healing. For patients with chronic conditions like diabetes, hypertension, or kidney disease, diet management is an important part of treatment and overall care. What Is a Balanced Diet? A balanced diet means eating a variety of foods in the right proportions. It does not require strict dieting or eliminating all your favorite meals. Instead, it focuses on moderation and smart choices. A healthy plate should include: Half of the plate filled with vegetables and fruitsOne quarter with whole grains such as brown rice or whole wheat rotiOne quarter with lean protein such as chicken, fish, lentils, beans, or eggsSmall amounts of healthy fats like olive oil, nuts, and seeds Eating colorful fruits and vegetables helps ensure you receive a wide range of nutrients. Nutrition for Common Health Conditions Patients with diabetes should monitor carbohydrate intake and avoid refined sugars. Whole grains and high-fiber foods help maintain stable blood sugar levels. For high blood pressure, reducing salt intake is essential. Limiting processed foods and using herbs and spices for flavor can make a significant difference. Heart patients should avoid excessive fried and fatty foods. Including fish, nuts, fresh vegetables, and fruits supports heart health. For digestive problems, fiber-rich foods and adequate water intake improve bowel function and overall comfort. Portion Control and Healthy Habits Even healthy foods can cause weight gain if portions are too large. Simple habits can help manage portions: Use smaller platesEat slowly and chew properlyAvoid distractions like mobile phones while eatingStop when you feel satisfied rather than overly full Mindful eating helps prevent overeating and supports weight management. The Importance of Hydration Water supports nearly every function in the body. It helps regulate temperature, transport nutrients, and remove waste. Most adults should aim for six to eight glasses of water daily, unless advised otherwise by their doctor. Sugary drinks and carbonated beverages should be limited, as they add unnecessary calories and increase health risks. Nutrition During Recovery Proper nutrition is especially important for patients recovering from illness or surgery. Protein supports tissue repair, vitamins strengthen immunity, and balanced meals provide the energy needed for healing. At Shalamar Hospital, patients are guided on healthy dietary choices as part of comprehensive care. Making informed food choices supports faster recovery and better health outcomes. Start with Small Changes Improving your nutrition does not require drastic changes. Simple steps such as adding an extra serving of vegetables, choosing water over sugary drinks, or reducing fried foods can lead to long-term benefits. Your daily food choices shape your health. By focusing on balanced nutrition, you invest in a healthier and stronger future. At Shalamar Hospital, we encourage patients to take proactive steps toward better health through informed and mindful eating.
Skincare Hype vs. Reality: What Your Skin Truly Needs
In today’s world, skincare has evolved from a simple daily routine into a multi-billion-dollar industry filled with promises of instant glow, miracle serums, and “perfect skin” transformations. Social media trends and influencer recommendations often make it seem like flawless skin is just one product away.But how much of this is science—and how much is marketing?Understanding the difference between skincare support and skincare dependency is essential for achieving healthy, glowing skin. 1. Effectiveness & Big Claims: Patience Over PromisesMany skincare brands claim dramatic changes within days or weeks. The reality? Genuine skin improvement often takes months.Skin renewal is a gradual biological process. Quick fixes rarely deliver sustainable results, and unrealistic expectations often lead to frustration.The key factors for real results: Consistency Patience Professional guidance Healthy skin is built over time—not overnight. 2. Serums & Product Overload: More Isn’t Always BetterModern skincare shelves are filled with powerful active ingredients like: Niacinamide Salicylic Acid AHA / BHA Vitamin C Retinol Glycolic Acid While these ingredients can be highly effective, they are not universally suitable for every skin type. Mixing multiple actives without proper knowledge can cause: Irritation Breakouts Dryness Barrier damage It is always advisable to consult a qualified dermatologist before introducing active ingredients into your routine. Dermatologists assess your skin type, concerns, and medical history before recommending products. 3. Necessity vs. Trend: What Do You Really Need?Are all skincare products necessary?Not necessarily.Universal essentials include: A good moisturizer Daily sunscreen Other products like serums, toners, and treatment creams should be introduced based on individual skin needs—not trends.Interestingly, previous generations maintained healthy skin without elaborate skincare routines. Their advantage? Natural diets Minimal processed food Lower stress levels More outdoor activity Lifestyle remains one of the most powerful skincare tools. 4. Sunscreens, Night Creams & Toners: What’s Essential?Sunscreen: Non-NegotiableDaily sunscreen is crucial. UV exposure leads to: Premature aging Pigmentation Dark spots Long-term skin damage Night Creams & Toners: Case-by-CaseThese are not mandatory for everyone. Depending on your skin type, they may: Block pores Trigger breakouts Cause dryness Professional advice ensures you’re adding products that benefit—not harm—your skin. 5. Marketing vs. Medical AdviceSkincare advertising often exaggerates claims—promising instant acne cures, dramatic fairness, or wrinkle-free skin within days.Consumers must learn to separate marketing hype from medical advice.Influencers are not medical professionals. Their recommendations are often promotional rather than clinical. Always prioritize qualified dermatological guidance over social media trends. 6. Consumer Awareness: Smart Choices MatterExpensive products do not automatically mean better results. Many affordable options are equally effective when selected correctly.Before purchasing skincare products: Know your skin type Understand your specific concerns Look for dermatologist-tested formulations Avoid blindly following trends Seek professional consultation when neededInformed decisions protect both your skin and your budget. 7. Support, Not Dependency: The Balanced ApproachModern skincare should support your skin—not become a dependency.Today’s lifestyles expose us to: Environmental pollution Processed diets Chronic stress Skincare products can help protect, repair, and maintain skin health. However, they cannot replace: A balanced diet Adequate sleep Stress management Proper hydration True beauty reflects overall wellness. Holistic care always outperforms product obsession. Conclusion: Smart Skincare Starts with KnowledgeSkincare products are valuable tools—but they work best as support, not substitutes for healthy living.Understand your skin’s unique needs, combine professional advice with a healthy lifestyle, and focus on long-term care rather than quick fixes. Healthy skin isn’t about chasing trends—it’s about making informed, balanced choices.
Understanding Menopause: What Every Woman Should Know
Menopause is a natural phase in a woman’s life, usually occurring between the ages of 45 and 55. It marks the end of menstrual cycles and reproductive years. While menopause is a normal biological transition, the physical and emotional changes that come with it can sometimes feel overwhelming. At Shalamar Hospital’s Menopause Clinic, we provide guidance, support, and medical care to help women manage this stage with confidence. What Happens During Menopause? Menopause does not happen overnight. It begins with perimenopause, a transitional period when hormone levels, particularly estrogen and progesterone, start fluctuating. This can last several years before periods stop completely. Common symptoms include: Hot flashesNight sweatsIrregular periodsMood changesSleep disturbancesVaginal dryness Some women experience mild symptoms, while others may notice significant changes affecting daily life. Long-Term Health Considerations After menopause, lower estrogen levels can increase the risk of: OsteoporosisHeart diseaseWeight gainUrinary problems Regular health checkups, bone density screening, and heart health monitoring become especially important during this stage. Support and Treatment Options Treatment depends on symptom severity and individual health history. Options may include lifestyle changes, dietary adjustments, calcium and vitamin D supplementation, hormone therapy when appropriate, and non-hormonal treatments. Menopause is not an illness, but proper care can greatly improve comfort and quality of life. At Shalamar Hospital, women receive personalized care tailored to their specific needs.
Understanding Kawasaki Disease in Children
When a child has a fever, most parents think of common infections such as flu or throat infection. In most cases, fever settles within a few days. However, if a child has a high fever that lasts more than five days and does not improve with usual treatment, it is important to look deeper. One rare but serious condition that can cause this is Kawasaki disease. Kawasaki disease mainly affects children under the age of five, though older children can also develop it. It is not contagious, which means it does not spread from one child to another. The exact cause is still not fully understood. Doctors believe it may be related to an abnormal immune response to an infection in children who are genetically more sensitive. The first and most noticeable symptom is a persistent high fever. Along with fever, parents may notice red eyes without discharge, cracked or red lips, a red tongue that looks swollen, and swollen lymph nodes in the neck. Some children develop a rash on their body or swelling in their hands and feet. After a few days, the skin on the fingers and toes may start peeling. The main concern with Kawasaki disease is its effect on the heart. If not treated in time, it can cause inflammation in the blood vessels that supply the heart. This can lead to complications such as coronary artery changes. Early diagnosis and treatment greatly reduce these risks. If your child has had a fever for more than five days along with some of the symptoms mentioned above, consult a pediatrician immediately. Doctors diagnose Kawasaki disease based on clinical signs and may order blood tests and an echocardiogram to check the heart. Treatment usually involves a medicine called intravenous immunoglobulin, given in the hospital. This helps reduce inflammation and lowers the risk of heart complications. Aspirin may also be prescribed for a certain period under close medical supervision. Most children respond very well to treatment when it is started early. Recovery is generally smooth, especially if treated within the first ten days of illness. Follow up visits are important to monitor heart health. In most cases, children go on to live completely normal lives without long term problems. Parents often feel anxious when they hear about a rare disease. It is important to remember that Kawasaki disease is treatable, and early medical care makes a big difference. Trust your instincts. If your child’s fever does not seem normal or lasts longer than expected, seek medical advice. Prompt attention can protect your child’s heart and overall health.
Recognizing and Managing Pediatric Autoimmune Encephalitis
Children can sometimes show sudden changes in behavior that worry parents. A child who was cheerful and active may become irritable, confused, or unusually quiet. In rare cases, these changes may be linked to a condition called autoimmune encephalitis. Autoimmune encephalitis is a rare disorder in which the body’s immune system mistakenly attacks the brain. This inflammation can affect memory, behavior, speech, and movement. Although it is uncommon, early recognition and treatment are very important for recovery. The symptoms can appear over days or weeks. Parents may notice that their child is behaving differently. There may be mood swings, anxiety, or sudden aggression. Some children may have trouble speaking clearly or understanding simple instructions. Others may develop seizures, abnormal movements, or difficulty walking. Because the symptoms can look similar to psychiatric conditions or infections, diagnosis can sometimes be delayed. Pediatricians work closely with neurologists to evaluate the child carefully. Tests may include blood work, brain imaging such as MRI, electroencephalogram to study brain activity, and sometimes a spinal fluid test. One specific type, called anti NMDA receptor encephalitis, is more commonly seen in children and young adults. It often begins with behavior changes and may progress to seizures or movement problems. With proper treatment, many children recover well. Treatment focuses on calming the immune system. This may include steroids, intravenous immunoglobulin, or other medications that reduce inflammation. In some cases, additional therapies are needed if symptoms persist. Treatment is usually given in the hospital, especially in the early stages. Recovery can take time. Some children improve within weeks, while others may need several months of rehabilitation. Speech therapy, physical therapy, and psychological support can play an important role in helping the child regain skills and confidence. For parents, the experience can be overwhelming. Sudden personality changes in a child are frightening. It is important to seek medical attention if your child shows unexplained behavioral changes, repeated seizures, or confusion. Early treatment significantly improves outcomes. Most children who receive timely care show remarkable improvement. Regular follow up appointments help doctors monitor progress and adjust medications when needed. Emotional support from family also plays a key role in healing. Rare conditions like autoimmune encephalitis remind us that not all illnesses present in obvious ways. Careful observation, trust in your concerns as a parent, and prompt consultation with a pediatric specialist can ensure the best possible outcome for your child.
Lesser-Known Symptoms of Menopause That Women Should Not Ignore
While hot flashes and mood swings are widely recognized symptoms of menopause, many women experience other changes that are less commonly discussed. These symptoms can be confusing and may go untreated if not properly identified. The Menopause Clinic at Shalamar Hospital helps women understand and manage these lesser-known concerns. Joint and Muscle Pain Many women report stiffness, aching joints, or muscle discomfort during menopause. Hormonal changes can affect inflammation levels and joint health, leading to pain that may be mistaken for arthritis. Burning Mouth Syndrome A rare but distressing condition, burning mouth syndrome causes a persistent burning sensation in the tongue, lips, or entire mouth without visible signs of irritation. Hormonal fluctuations are believed to contribute to this issue. Hair Thinning and Skin Changes Decreasing estrogen levels may cause hair thinning or increased facial hair growth. Skin may become drier and less elastic, leading to wrinkles and sensitivity. Heart Palpitations Some women notice irregular or rapid heartbeats during menopause. Although often harmless, persistent palpitations should be medically evaluated. Urinary Urgency and Recurrent Infections Lower estrogen can weaken pelvic tissues, leading to urinary urgency, leakage, or frequent urinary tract infections. Early treatment improves comfort and prevents complications. If you experience unusual symptoms during midlife, do not ignore them. Many menopause-related issues can be effectively managed with proper medical care.
Osteoporosis: Protecting Your Bones Before It’s Too Late
Bones are living tissues that continuously break down and rebuild throughout life. However, as we age, this balance can shift, leading to weaker and more fragile bones. Osteoporosis is a condition that causes bones to become thin and brittle, increasing the risk of fractures even from minor falls or simple movements. At Shalamar Hospital’s Osteoporosis Clinic, we focus on early detection, prevention, and management to help patients maintain strong bones and an active lifestyle. What Is Osteoporosis? Osteoporosis develops gradually and often without noticeable symptoms in its early stages. Many individuals do not realize they have the condition until they experience a fracture, commonly in the hip, spine, or wrist. As bone density decreases, bones lose strength and become more vulnerable to injury. Women after menopause are at higher risk due to reduced estrogen levels, but men can also develop osteoporosis. Who Is at Risk? Several factors increase the risk of osteoporosis: Advancing ageFamily history of osteoporosisMenopauseLow calcium and vitamin D intakeSedentary lifestyleSmoking and excessive alcohol consumptionLong-term use of certain medications such as steroids Understanding your risk factors allows early preventive measures. Symptoms to Watch For Osteoporosis is often called a silent disease, but warning signs may include: Frequent fracturesBack painLoss of height over timeStooped posture If you notice these changes, medical evaluation is important. Diagnosis and Screening Bone Mineral Density testing, commonly known as a DEXA scan, helps measure bone strength and detect osteoporosis before fractures occur. Early screening is especially important for women over 50 and individuals with risk factors. Prevention and Management Strong bones require proper nutrition and physical activity. A balanced diet rich in calcium and vitamin D supports bone health. Weight-bearing exercises such as walking, light strength training, and stretching help maintain bone density. In some cases, medication may be prescribed to slow bone loss and reduce fracture risk. Treatment plans are personalized based on age, bone density results, and overall health. At Shalamar Hospital’s Osteoporosis Clinic, patients receive comprehensive evaluation and guidance to protect their bone health for the future.