Category Archives: Islam

Ramadan Musings

As we begin our Ramadan process,it is worth reflecting on what the right way to approach this holy month is.Ramadan,in my understanding,is a complete program of spiritual purification(tazkya).The program includes getting up in the middle of the night for the Suhoor meal, fasting during the day,reading and studying as much of the Quran as possible,doing the iftar in the spirit of gratitude and remembrance and going to the mosque for Tarawih prayer to join with the other fasters.This is the outer aspect.

Now,all of this practice depends, of course, on the circumstances of the individual believers.Evening and night workers may not be able to make it for the Tarawih prayers as may be the case for mothers with young children.Some people,because of medical conditions, are totally unable to fast so each situation is unique.What I am describing here is an ideal model.Like with all ideals,wisdom and discernment is needed to put them properly into practice.

Now, the first question to address in all of this is that of the mind-set that is required-the attitude if you wish.I would formulate the directive here as “Slow down and turn inward”. Slowing down refers to your level of activity in the dunniya.So during my last years in psychiatric practice, I would start work later than usual and finish earlier(not everyone has that option but many do). I would also try to limit certain kinds of work that were particularly stressful or required a lot of concentration and mental effort.The latter is because the brain is the most glucose-dependent organ and the lack of calories means that it’s functioning is sub-optimal.For this reason, the smartest students I knew studied in the evening and night and early morning when the brain could be furnished with an adequate amount of nutrition.

As to the issue of stress-inducing activities,again in my personal experience ,I found I could not work in the emergency room in psychiatry while I was fasting(too much chaos,emotional violence and noise).In the quieter work in private practice ,I tried to keep the cognitively more difficult tasks, like evaluating new patients and writing complex medical reports until after Ramadan.

One of my Facebook contacts was promoting the opposite approach.Not satisfied with the exigencies of the regular fast,he suggested adding elements of the ketogenic diet including calorie restriction and extra cardio exercises to the non-fasting part of the day.I would suggest that that kind of Islamic machismpo is both unnecessary and counterproductive.This is not the time to be asserting our willpower.Rather it is the time of learning to be receptive and practicing surrender.IMHO

The ideal fast would be a sort of khalewah,like the Prophet saws was doing in the cave of al Hira when the revelation first came.That is,it is a form of asceticism(azhud) where one’s focus shifts almost totally from the worldly activities to the dhikr of Our Creator- in whatever form that takes.It may be dhikr itself like repeating the Ism al Adham or prayer or reading the Quran or even reading the stories and teachings of the awliya.This is the aspect I am referring to by the phrase “going inward”.Although the complete retreat is not possible for most people,the attitude therein can be seen as a point of reference.

Of course,whatever we do,even if we retire to a cave,we are going to meet the resistance of the ‘nafs’. It is going to say things like:”this is too hard”;Why are we putting ourselves into so much difficulty?”.Why don’t I find ways to distract myself from this arduous pracice?” etc.,etc.But we must resist., as much as possible.Personally,I do find the need from time to time to take a break and do something irrelevant-not haram but irrelevant,like watch the news or even a sports game.I know that in the Middle East,Ramadan is a time for popular television series -often at the time of the Tarawih prayer.This may well be acceptable if one is stuck at home ,but obviously the salat al Tarawih is better and as I mentioned earlier it is part of the program.I remember one Ramadan being in Egypt and once the sun went down,it was like Mardi Gras(festival-time) in the streets of Cairo..I had no problem finding the celebrants but the sites for Tarawih prayer were less obvious!

In terms of attitude also stay attentive .Much of the time you may feel hungry or weak or anxious but there will be openings (futuhat) where the Divine Presence and the barakat of Ramadan break through- like sun rays on a cloudy days.Those are the signs(ayats) of the rewards that are coming- both in this life and the hereafter.So enjoy the process if you can.It can be like a roller-coaster at times but it is all designed  by the Great Designer to get closer  and better aligned with our Creator .Ramadan Mubarak.

 

The Physiology of Ramadan Fasting

Disclaimer: I am not suggesting that anyone impulsively abstain from Ramadan fasting because of the information in the following text.Since Ramadan is an obligation in our religion,any such decision needs to be made in consultation with a judicious Muslim physician who understands well both the benefits and the risks of this noble practice.

Asalamu aleykum, brothers and sisters,aunties and uncles lol.I have spent a long time thinking about why Ramadan can be so difficult at times for many individuals.It didn’t make sense to me that Allah would ordain such an ordeal as part of our religious obligations.So I began investigating.The good new is that I believe I am finally getting to an understanding of what is really happening here-even if I am not sure how to manage it.

Let me be very clear from the outset.The problem during Ramadan is not with hunger and thirst as some of the original texts- Quranic and hadith- would imply.Most people can deal quite easily with hunger and thirst and this preoccupation often more or less disappears within the first couple of days if not the first hours of the fast.So, that is not the issue.The issue is much more with symptoms like headaches and nausea and incapacitating fatigue and difficulty concentrating .Those are the issues that can prevent people from functioning during Ramadan and make them feel that it is more like an illness than the process of abstinence- which it is supposed to be.

So what is happening here? Well,when I first started examining the issue ,I looked into the two most obvious variables-dehydration, from not drinking,and hypoglycemia from not taking in calories,But neither added up.The studies I was able to find indicated that males could maintain their glycemic levels for 72 hours during continuous fasting and females for about 24 hours.No problem there.None of us are fasting continuously for that long! As to dehydration, it takes about two weeks to die from water deprivation! So being deprived for 12-17 hours should be no big deal.Those two variables-the most obvious ones-should not really be part of the problem.

Then there are the scientific types looking into this matter including two well-done studies about fasting in Saudi Arabia.(Plos One,2014;9(5):e96500 and PLos One 2017,12(4):e0174342).These studies investigate some of the standard physiological variables done in routine blood monitoring.Their findings are interesting and I will attempt to summarize here what they indicated.

1)Mean levels of GGT(one of the most sensitive liver enzyme tests) as well as total protein and albumin decreased during Ramadan.That is probably all good,indicating that the liver is under less stress because of the reduced eating

2) Morning leptin was increased and morning adiponectin was decreased.Both of these are hormones released from fat cells indicating changes probably due to the on and off eating patterns of Ramadan.Unfortunately both of these changes are indicative of insulin resistance,something at the root of problems with adult-onset diabetes,i.e. not good.

3)CRP levels and IL-1a( indicators of inflammation in the body)  were lower(a good sign) but their diurnal variation was abolished(probably not good)

4)Blood glucose concentration remained within normal limits(as expected)

5) LDL(bad cholesterol)increased significantly(not good)

6) increased glucocorticoids,the stress hormone was increased(not good)

So what we see here is a mixed picture- some variables improving others worsening.The troubling, but not unexpected feature, however, that the studies indicate is that there is an increased incidence of cardiometabolic disorders and type -2 diabetes.Not unexpected as I have witnessed several crises of a medical and psychiatric nature as a doctor-from migraines to kidney stones to intractable depression.Each of these was manageable although sometimes the only way to manage them was to stop fasting-which we are permitted to do for medical reasons.

As I have said,none of this was surprising and none of it was troubling-at least to me.There may be a small but relatively predictable worsening of certain medical conditions during Ramadan.Some of them require sound medical advice.But overall,this increased risk is a small price to pay for obedience to our Lord and all the benefits pursuant to that.Let us remember that doing hajj also involves a low level of risk as does breaking our sleep cycle to pray tahhajjud.All well-worth the effort in terms of our relationship with our Creator.,no doubt.

As usual,whenever I consult with the official scientific publications,I still felt that my questions  were not really answered and I remained unsatisfied.Then came the’tajalli’! the ‘ilham’! -the insight if you wish..The real problem is none of the above-mentioned! The real problem is that we are all toxic in the modern world-to various degrees.You see, the people at the time of the Prophetsaws and right up to early in the twentieth century had no mercury in their mouths from amalgam fillings.they had no lead in their system from lead pipes and additives to petroleum and lead in paints.They had no aluminum from vaccines and Teflon,non-stick cookware.They had no exposure to pesticides and herbicides and fungicides in their food.They were not surrounded by formaldehyde-(in glues and fillers) laden construction materials and on and on.But all of us in the modern world have these exposures.These substances are found in umbilical cord blood and breast milk.

So we are all toxic!And fasting becomes a detoxification process! And that is where most of the symptoms come from.

This may all sound discouraging at this point.And it is troubling.And it definitely has to be managed appropriately.But there is an upside to all of this.If Ramadan is really a detox program, there may well be benefits to it.I am hoping to test out this hypothesis in the next few years inshallah.If it turns out to be the case, I will have attained the Holy Grail of Islamic Medical Research lol-proving that Ramadan is beneficial to our health .Anyone interested in participating in this research is more than welcome to contact me.I,myself intend to do a pre- and post-Ramadan hair analysis for heavy metals to see if there are any changes to be found.I am also looking for a lab that can do Urinary Glyphosate(a marker for all pesticide exposures)in a cheap and simple way. To be continued…Salaams,Ibrahim

 

Ilhan Omar and the problem of anti-Semitism in the Muslim community

The Ilhan Omar case.(A young Muslim Democrat in the U.S. House of representative spouting hateful stereotypes of Jews in a public forum).I am not usually a big fan of Fareed Zakariah who is another example of elite Ivy League American University education but this time he is right on.I quote him:“But I believe that Muslims should be particularly thoughtful when speaking about these issues because anti-Semitism has spread through the Islamic world like a cancer.Antisemitism”, he added, “is now routine discourse in Muslim populations in the Middle East and also far beyond.”Yes! As a Muslim convert I have seen it over and over again! And it is pathological- a paranoid conspiratorial mind-set that is definitely not to our advantage.So this is NOT an individual problem of Ilhan Omar who seems nice enough(I like her presence actually.A cut above most politicians I would say). it is a collective problem of the Muslim Ummat.And i dare say this is a major factor in Muslims not playing their rightful part in American politics and, in fact,being outplayed regularly by the Zionist supporters.
Zachariah goes on to say(again I couldn’t agree more)” Israel was guilty of bigoted policies towards Palestinians and that AIPAC exerts considerable political influence over elected officials.These are legitimate issues to vigorously debate and discuss in the United States, just as in Israel,” he wrote. “Unfortunately, by phrasing the issue as the two new representatives sometimes have, they have squandered an opportunity to further that important debate.”
So,to his credit,Zachariah is NOT a black and white thinker.And nor should we,as Muslims, be so.What always astonishes me about the Muslims on this question is that they don’t realize that WE HAVE WON!There are 1.4 billion Muslims and the Jewish population is less than 25 million.Why do Muslims feel so victimized?! The vast majority of our problems are self-inflicted ,if you analyze the situations properly.

P.S. I think this subject is finally being opened up for discussion.During the back and forth dialogue on my Facebook page I brought up the fact that I have NEVER heard an Imam at jumaa praying for peace in the Middle East! That is a problem and an anachronism.It is a carry-over from the vulnerable state of the Muslims at the very beginnings of our tradition when they were surrounded and vastly outnumbered by their enemies.We are now 1,4 billion strong.But it’s as if the Muslim ummat has not caught up with the times and still wants to blame others(Israel,U.S.A.,C.I.A., Freemasons etc.) for its failures.Sad,really!

The Tasbih

  • I recently returned to Montreal only to realize that I had lost my tasbih(rosary, prayer beads,mala) on the airplane. I panicked lol They are part of my being like prayer and coffee. So I quickly contacted my  artisanal Tasbih maker, Net Tasbih (beautiful stuff for which I am terribly grateful) to get s replacement. Two actually-for security.
  • On my way across the city to his place, I asked myself why this item is so easy to lose. Then I thought of compsrable items-umbrellas and gloves that are equally easy to lose and the tajalli(inspiration) came! Of course! Umbrellas protect us from the rain; gloves protect us from the cold; and Tasbihs protect us from dunniya( worldliness) by reminding us of our Lotd. It all made sense! Alhumdulillah,