DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

TABLE OF CONTENTS
Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 Subject Introduction Role & Responsibilities General Description Learning Recourses & Services Provided Computerized Tomography Scanning Fluoroscopic Room Color Doppler Room Ultrasound Room Computerized Radiography Room Conventional Radiography Room Education & Training Research Thesis & Dissertation Page No.

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

INTRODUCTION
Mission: Competitive practice of Radiology with holistic approach, provide services to the patients through effective and efficient education of the staff, research, publications and other useful means. Professional Values: Professionalism, total quality and science culture, hard work, group work, discipline and respect for others, Objective oriented. Quality Policy and Quality Objectives: To provide effective and efficient delivery of education, patient diagnostic and therapeutic services and technical expertise through competent task based management, full participation, cooperation, confidence, teamwork and innovation. a). Education. i). ii). iii) iv) b). The students and trainees should be satisfied with every interaction of staff of Radiology Department/ King Edward Medical University /Mayo Hospital. All education given is aimed at improving the skills. Continuous improvement is exercised in all education programs leading to periodical revision of curriculum. Arrange logistics to run the education process.

Patient Care Services. i). The patients and their attendants should be satisfied with every interaction of the staff of KEMU/MH. ii). The opinions of the patients are valued and respected. iii). Make all efforts to meet the needs of the patients, through institutional or community resources. Diagnostic Procedures. i). Every Procedure should be done right the first time, on time and every time. ii). Continuous improvement and innovations should be exercised in skills, technology, material and techniques. iii). The errors and complications must be recorded, discussed and removed immediately after first notice. 2

c).

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

iv). v). vi). d).

Every staff member must endeavor to continuously enhance his/her competency and moral values. Philosophy of division of jobs at work location and work stations is clearly understood and applied. All jobs/assignments carried are Task Based.

Staff Behaviors. i). Every staff member must endeavor to continuously enhance his/her competency and moral value. ii). Every staff member should be waste conscious and should strive for their elimination, including time, efforts, and money. iii). Time keeping, uniform behavior with others and professional competence/performance should be monitored, recorded and improved. iv). No two are equal, discipline is maintained. v). Remember if you are not a problem solver then you are automatically considered to be problem creator.

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

History of the Department

Radiology: Outside view of Department

Establishment of the Department

Department of Radiology was established in 1890. Dr Muhammad Alam was the first Head of Department when Pakistan came into being. This department was established as Lala Ramji Dass X-Ray Extension in 1890. Initially conventional Radiography was started in this Block but with the passage of time and new advancement in the diagnostic Radiology this department achieved the present status. Now from conventional Radiography through Fluoroscopic Radiography and Ultrasound this department is catering services in Color Doppler 4

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

and Computerized Tomography Scanning. Magnetic Resonance Imaging is on its way to this department. The building comprises of 14 rooms where different Radiological equipment is installed including Conference room and Library. The Department is also equipped with latest computers, Multimedia, Overhead Projector for Seminars, Lectures and Daily Class presentations. The department reached from single x-ray room to present status of latest trends of Radiology by the untiring and valuable services and efforts of our worthy professors who headed this department. It is worth mentioning their names and tenure:From To 1. Dr. Muhammad Alam 1947 1967 2. Dr. Muhammad Ibrahim 1967 1970 3. Prof. R.A. Mian 1970 1987 4. Prof. M.A. Jawed Siddiqui 1988 1990 5. Prof. M. Akram Cheema 1990 1993 6. Prof. M.A. Jawed Siddiqui 1993 2003 7. Prof. M. Nawaz Anjum 2003 2006 8. Dr. Khawaja Khurshid Ahmad 2006 todate

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Administrative setup: Professor

Associate Professor Chief Consultant Radiologist

Assistant Professor

Radiologist

Assistant Radiologist

Medical Officers & P.G.Residents

Ward Sister Staff Nurses

Radiographers Bearers

House Officers

Student Nurses

Clerical Staff

Head Bearer

Gate Keeper

Ward Attendant

Ward Cleaners

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Role and Responsibilities i). Professor He Coordinates the (1) Educational, (2) Clinical, (3) Administrative (4)Planning & Development, (5) Social Work, (6) Research and (7) Publication activities in the Department

& is responsible to maintain acceptable standards in each activity. He also arranges time to time internal & external audit & provides feed back to the concern staff members & perform counseling where required. ii). Associate Professor a) He Coordinates the (1) Educational, (2) Clinical, (3) Administrative (4) Planning & Development, (5) Social Work, (6) Research and (7) Publication activities in the Department, & is responsible to maintain acceptable standards in each activity. He also arranges time to time internal & external 7

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

audit & provides feed back to the concern staff members & perform counseling where required. b) Director Post Graduate Education (Assists the Professor in managing the affairs of the Department) He is responsible for running all Post Graduate Educational courses, Seminars, Workshops, and Conferences on behalf of Department. He develops, runs & maintains record of different evaluations of PG candidates i.e. entry evaluations, internal evaluations & counseling & preparation for exit evaluations. He arranges rotations and postings of the residents. He also assists the Professor in managing different activities in the Department & acts as educationist, clinical specialist and resources person in his capacity. iii). Assist Professor Director undergraduate Education (Assist the Professor in managing the affairs of the Department) He is responsible for running education of MBBS students & house Surgeons. He is responsible for maintaining records of all educational activities and performance of individual student. He is responsible to arrange evaluation

and counseling of students with other teachers. He also coordinates different research projects related to the policy development and community surveys. He also assists the Professor in managing different activities in the 8

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

department and acts as educationist, clinical specialist and the resource person in his capacity. iv). Chief Consultant Radiologist Director Nursing and Paramedics Education (Acts as Bridge between the Professor and Hospital Administration)

He is responsible for: Running courses for Nursing & Paramedical Staff & maintain necessary record. Arranging counseling of Nursing & Paramedical staff. He is responsible for all planning & development activities.

DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

v).

Director Data Control He is responsible: To develop, modify, apply and, maintain record of data gathering performs regarding patient care in OPD/A & E and ward To present & discuss data of each teams A/B/C with relation to output, morbidity & mortality every fortnightly.

To produce monthly report on output of the whole department. To produce yearly report.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

vi)

Director Weekly Regular Seminars He is responsible: To conduct Radiology Seminar on every Thursday. (combined weekly meeting of Neurology, neurosurgery and Radiology departments)

vii).

Radiologist He is responsible: To keep everybody working in the department & provide their need even if he is not around. To issue all directions, notices etc. on the behalf of Professor/Medical Superintendent.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

To take all disciplinary activities. To perform verification of stock register every years. To perform verification of expense books of different items. To insure documentation on patient record, registers in OPD/A&E wards.

viii). Nursing Sisters She is responsible: To guide & administer or Paramedical & Nursing staff. To maintain, clean & organized environment of ward. To maintain satisfactory standards of patients care. To arrange indent/expense of all stock/stores. To make & run duty rosters for paramedical & nursing staff. ix). Duty Doctor / P.G. Resident Doctor He is on duty for 24 hours. (8:00 AM to 8:00 AM) and is responsible to submit duty report. Total patients examined during his duty. Participate in morning teaching class Give time for investigation like USG, C.T. , Fluroscopy X-rays. List of Paramedical & Nurses absent from duty. Contact Sr. Doctors on call if need arises.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

x)

Head Bearer a). Maintenance of Stock He is responsible for the stock maintenance and will check them on daily basis The registration fee will be deposited to the almoner office on daily basis Maintenance of clean Environment The head ward attendant will assign duties to the sweepers and ward attendants and will supervise the cleanliness of ward

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

b).

Changing of bed Sheets Each patient will be provided with new bed sheet of examination coaches daily. If a bed sheet is soaked or become dirty it will be changed immediately He will send the dirty linen after recording their number to the laundry and will collect them on daily basis Cleanliness of wash rooms In indoor the washrooms will be cleaned every two hourly from 7am to 7 pm. From 7pm to 7 am it will be cleaned every 6 hourly

xi)

Ward Attendant He works under head bearer and his responsibilities are same as Head Bearer. He follows the instructions of Head bearer& sister Incharge.

xii).

xiii)

Cleaner He/she is responsible for round the clock cleanliness in all five work locations (Ward, OPD, A&E and Education center). 2. He/she cleans the Patients wash rooms every 02 hourly and the work location every 04 hourly. 3. He/she shifts the garbage on special trolley to the Hospital refusal tank. Peon in Professors Office i). ii). iii). iv). He looks after the Professors office and Education Center. He controls the visitors and deals them accordingly. He attends the telephone calls and messages in the absence of PA to the Professor. He carries the letters of the Professor to different offices.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

GENERAL DESCRIPTION
2.1 Overview

Department of Radiology was established in 1890. Department of Radiology has the following resources: 1). Human Resources i). ii). Teaching Faculty Staff a) Medical Staff b) Nursing & Paramedical Staff a. In door patients b. Out door patients c. Accident & Emergency c). 2).

King Edward Medical University Staff

Learning Resources i). ii). iii). iv) v) vi) In door patients Out door patients Accident and Emergency Nuclear Medicine Echocardiography Paediatric Radiology

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Teaching Faculty
Designat ion Name, Tel, E-mail Qualification Photograph

Dr. Khawaja Khurshid Ahmed

ASSOCIATE PROFESSOR

(MBBS (Pb) DMRD (Pb)

DR. Mahjabeen Masood ASSISTANT PROFESSOR

MBBS, DMRD

Dr. Ghulam Muhammad Chief Consultant Radiologist

MBBS, DMRD

Dr. Shamim Akhtar Khan

MBBS, DMRD

APMO Dr.Sarfraz Ahmad Tariq

MBBS, FCPS

Radiologist

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Dr. Asif Khan

MBBS, DMRD

Radiologist Dr. Farrukh Malhi

MBBS, DMRD

Radiologist Dr. Sadia Iftikhar Senior Registrar

MBBS, FCPS

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

MEDICAL STAFF

Dr. Afshan Qureshid Dr. Tahir Q.Khan Dr. Mahjabeen Tariq Dr. Muhammad Ali Dr. Iftikhar Dr. Mujeeb ur Rehman

W.M.O.
M.O

W.M.O M.O. M.O .M.O

Dr. Naveen Bogvi Dr. Salma Awais Dr. Mahr un nisa Dr. Farida Ali

W.M.O W.M.O W.M.O W.MO.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Group Photo of Medical Staff

Sitting LR Standing L-R

Dr. Shamim Akhtar Khan, Dr. Mahjabeen Masood , Dr. Kh. Khurshid Ahmed, Dr. Ghulam Muhammad Dr. Sarfaraz Ahmed Sahi, Dr. Farrukh Malhi , Dr. Sadia Iftikhar , Dr. Tahir Q. Khan

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Nursing & Paramedical Staff

S.No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

Name Shehnaz Saeed Azra Shehnaz Saleema Haji Jawed Islam Khalid Lohdi Munawar Hussain Inayat Fazal Saleem Ur Rehman Jawed Iqbal Shafique Ahmad Abdul Samad Nadeem Bhatti Fayyaz Ahmad Bhatti Khalid Chatta Ilyas Shah Anwar Waheed Ayyaz Mehmood Shaukat Ali Ashraf Hussain Mussarat Bashir Mazhar Iqbal Muhammad Yousaf Muhammad Maqsood Muhammad Ishaq Muhammad Sharif Waseem Albert Tariq Masih Zahoor Masih

Designation Head Nurse Charge Nurse Charge Nurse Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Radiographer Dark Room Assistant Junior Clerk Charge Nurse Head Bearer Ward Attendant Ward Attendant Ward Attendant Ward Attendant Ward Cleaner Ward Cleaner Ward Cleaner

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Ultrasound Section

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

LEARNING RESOURCES AND SERVICES PROVIDED

Inpatients Introduction patients are reffered to the Radiology Department for investigations through three work station i). ii). iii). Accident & Emergency Out patients Department Shifting from different indoor clinical wards / other hospitals.

Physical Capacity A. Building a) Investigations Rooms Flouroscopy room Ultrasound room Color Doppler Conventional Radiography room C.T. Scan Room Computerized Radiography room

1 1 1 3 1 2

Total Rooms: a). b). c). d) e). f). g). h). i). j). k) Professors office Doctors Duty office. Assistant Professor office Radiologist office Sister Office Nursing Station. Library Conference Room Stores Male Wash Room Patients Toilet

09 Rooms

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

B.

Furniture i. ii. iii. Patients Benches 05 Patient Chairs 25 Patients Wheel Chairs 02

Teaching Capacity A. Indoor Department Illuminators Large one in the three sides of the conference room, one in each room of Professor, Associate, Assistant, Radiologist, Medical Officers B. Nursing Station i. Emergency Trolley that contains the following: Trolley with drawers Torch Laryngoscope Emergency medicines & disposables ii. BP Apparatus and Stethoscope iii. Sucker machine iv. Oxygen cylinders with gauges Ultrasound Room Ultrasound Machine Siemens Ultrasound Tosbi 01 01

C.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

D.

Color Doppler Ultrasound Room

Color Doppler Machine Logic 5 Color Doppler Machine Logic 7

01 01

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

E.

Computerized Tomography Scanning

Toshiba Machine C.T. Scanner(TSX 002A)

01

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

F.

Computerized Radiography

CR System Fuji CR System Agfa G. Fluoroscopy Room

01 01

H.

X-Ray Fluoroscopy Machine Conventional Radiography

01

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

X-Ray Machines

03

i.

Conference Room

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Multimedia Projector Computer Slide Projector Over head Projector Video Cassette player Television receiver 24 inch Projector Screen Chairs (wooden) Stock Cupboard

One One One One One One One Fifty One

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

j.

Library Chairs Wooden Book Almirah Large Wooden table Twenty Six One

Functions:
Patients are reffered by Consultants through either OPD, Accident & Emergency or from other wards / hospitals. Appointment for different investigations is given by the clerk of the concerned section after consultation with the duty doctor. The emergency cases are dealt with urgently and requested investigations is done on the same day.

Work Capacity 1. Ultrasound Examination 2. Color Doppler USG 3. Fluoroscopic Examination 4. Conventional Radiography 5. C.T. Scans

1500/ month approximate 200/ month approximate 600/ month approximate 2700/month approximate 1350 / month approximate

OUT PATIENT DEPARTMENT:

Introduction OPD works six days a week from 8.00 am to 2.00 pm. Routine x-ray examination and USG examination is done of the patient reffered from the OPD Department. Physical Capacity There are two x-ray machine installed in OPD X-Ray Department one in each room. One Ultrasound Machine installed in the OPD Ultrasound Room

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Functions:
i) Patient is received by the receptionist who received the fee for the prescribed investigation and sends the patient to USG or X-Ray room for relevant investigations.

ii) iii)

Patient is x-rayed in the x-ray room and given half an hour time to collect xray films along with report. Patient reffered to ultrasound room is received by the charge nurse and ultrasound is done by duty doctor and report is issued their and then. If the consultant opinion is required then the patient is reffered to indoor department for consultation.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

LIBRARY

Different views of Radiology Department

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

EDUCATION AND TRAINING

For detail for courses refer to nursing and paramedical curriculum Undergraduate Education For MBBS Program refer to the curriculum of MBBS. Postgraduate Qualification (DMRD) Two year diploma programme. Postgraduate Major Qualification ( FCPS Radiology, M.D. Radiology) For educational program refer to the curriculum B.Sc. Imaging Technology

1. 2.

Case presentation by PGs Joint clinico- radiological conference by Neurology, Neurosurgery and Radiology department in the Radiology Department.

Daily Every Thursday

CONTINUOUS MEDICAL EDUCATION Department of Radiology in collaboration with the Radiological Society of Pakistan is running monthly CME program on the last Sunday of every month

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

RESEARCH AND PUBLICATIONS

PUBLICATIONS OF THE FACULTY

DURING THE LAST THREE YEARS

1.

Usefulness of CT Scan in Managing Blunt Renal Trauma Annals of King Edward Medical University, July Sept. 2006

2.

Doppler Evaluation of solid Breast lesion, Is RI is Helpful ? Annals of King Edward Medical University, April June 2006.

3.

Is it always DVT. Sonographic evaluation of unilateral leg swelling. Annals of KEMC, July-September 2005.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

PROPOSED PROJECTS TO BE CONDUCTED IN THE RADIOLOGY DEPARTMENT

1. 2. C.T. in inflammatory gut pathologies. Role of fat stranding in a CT abdomen- inflammatory lesion vs malignant lesion. Liver Biopsy Vs Doppler ultrasound for Liver fibrosis in Hepatitis C patients . Doppler in Hepatitis C proven patients. Orbital sonography in patients with ocular trauma. Conventional Myelography vs CT myelography which is better . Liver fibrosis Ultrasound scoring system Vs Color Doppler, correlation with Liver Biopsy. HRCT densitometry & characterization of lung nodules. HRCT petrous bones in cases of unilateral ear discharge.

3.

4. 5. 6.

7.

8. 9.

10. Characterization of thyroid nodule on Doppler ultrasound correlation with nuclear scan. 11. Ultrasound eye in pediatric patients with unilateral visual loss . 12. Testicular Doppler for intratesticular solid masses.
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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

13. HRCT Vs Contrast enhanced CT Chest in Characterizing Solitary lung nodules.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

PROJECTS IN HAND BEING CONDUCTED IN THE DEPARTMENT OF RADIOLOGY

1. Frequency of Different Patterns on HRCT in interstitial lung diseases 2. Role of Ultrasonography, Mammography and Scintimammography in assessment of breast cancer, confirm by histopathology 3. Comparison of C.T. and Ultrasound Findings in Abdominal Tuberculosis 4. Comparison of TVS with Saline hystero-sonography in Diagnosis of Dysfunctional Uterine bleeding . 5. Comparison of Doppler Ultrasound with FNAC in Diagnosing thyroid nodule. 6. Radiological bone age estimation from long bones of lower limb. 7. Diagnosis of Renal stones CT Vs IVU.

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DEPARTMENT OF RADIOLOGY, MAYO HOSPITAL, LAHORE.

Services for Earthquake Hit Area

On October 8, 2005, 8.50 PST, a magnitude occurred in Paksitan, Afghanishtan, and India. The earthquake epicenter was located 1000 kilometers north-northeast of Islamabad, along a fault associated with the Indian subcontinent moving northward at a rate 40 mm per year colliding with the Eursian continent. The 2005 earthquake is arguably the most debiliatating natural disaster in Pakistans history, Pakistan administered Kashimir known as Azad Jammu & Kashmir, and the Easten Districts of the North West Frontier Province bore the full force of the earthquake in terms of numbe rof lives lost, injuries sustained, and destruction of infrastrucre and economic assets. According to Government of Pakistan figures, as of November 3, approximately 73,000 people had died and more than 70,000 had been severely injured or disabled. Over 2.8 million persons have been left without shelter and it is estimated that about 2.3 million person are without adequate food. A nation united characterizes the strong civil society response throughout Pakistan and among expatriates living abroad. Doctors from Radiology department, also served the suffering people in three units, especially made for such patients in emergency department for couple of months.

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