Dr. Manzar Ali Laparoscopic Surgeon at Multan

Dr. Manzar Ali Laparoscopic Surgeon at Multan Laparoscopic Surgery@ MULTAN
پیٹ کے مُختلف امراض (مثلاً پِتّہ, اپنڈک?

Are you a victim of your environment?Does it allow you to be your best, or does it drain your energy and make you slow?O...
20/03/2026

Are you a victim of your environment?
Does it allow you to be your best, or does it drain your energy and make you slow?

Often we believe that our problems come from big things like a stressful job or a busy day.
But in reality, most problems come from small frictions repeated again and again, day after day.

Let me explain this with something from my world.

Recently, I was speaking about ergonomics in surgery at a conference.
People usually think ergonomics means how a surgeon stands, how the patient is positioned, or how the screen is placed.
That is important.
But what actually tires a surgeon is something else.

It is when the instrument is not ready on time.
When we have to keep asking for the same thing again.
When things are slightly out of place, forcing constant neck adjustment.
When the energy device cable crosses your hand at the wrong moment.
When small delays keep interrupting the flow.
None of these are big problems.
But when they keep happening for 2–3 hours, they drain our energy.
And that is what creates fatigue, irritation, and sometimes even errors.
And this doesn’t just happen in surgery.

This is how most of us are living our lives.
Think about your own day.
People wake up late because they slept late. They skip breakfast or eat something random.
Then rush to work, sit for long hours, and eat whatever is convenient.
People keep checking their phones. They postpone exercise.

Individually, nothing here feels like a big problem.

But by the end of the day, we feel tired, irritated, and low on energy, simply because many small things are not working smoothly.

We often try to fix life by doing something big.
But we don’t fix the small systems, and so nothing sustains.

What I’ve learned from the operating theatre is very simple.
Efficiency and comfort come from how well our system is designed.
Not from how hard we push ourselves.

If our environment supports us, things feel easier.
If it works against us, everything feels like hard.

So instead of asking, “How do we become more disciplined?”
Maybe we should ask, “Where is friction in my daily life?”

Is our food planned, or are we deciding it when we are already hungry?
Is our sleep routine fixed, or random every day?
Is our workspace helping us focus, or distracting us constantly?
Is our day structured, or always reactive?

When we start fixing these small things, it becomes easier to take action and stick to our routine instead of forcing ourselves all the time.

In surgery, better ergonomics means better outcomes.

In life, better systems mean better health, better energy, and better clarity.

So let’s create an environment that brings the best in us.

#عیدمبارک 💐

How do you build trust when patients believe misinformation? Experts say it starts with listening — not correcting. Taki...
20/03/2026

How do you build trust when patients believe misinformation? Experts say it starts with listening — not correcting. Taking time to understand where patients are getting information and acknowledging their concerns can open the door to more productive conversations. From there, clinicians can gently share evidence, clarify misconceptions, and focus on shared decision-making rather than confrontation.

Successful communication is built on trust.

At College of Physcians and Surgeons Pakistan as Examiner Surgery with Respected Colleagues 👍
17/03/2026

At College of Physcians and Surgeons Pakistan as Examiner Surgery with Respected Colleagues 👍

  is associated with higher risk for 12   types and accounts for approximately 10% of annual new cancer cases in the US....
10/03/2026

is associated with higher risk for 12 types and accounts for approximately 10% of annual new cancer cases in the US.

Excess adiposity promotes cancer development through inflammation, altered hormone production, disrupted immune function, genomic instability, and gut microbiome changes.

interventions, including and glucagon-like peptide 1 receptor agonists ( -1 RAs), have been linked to modest reductions in obesity-associated cancer risk, although >10% weight loss may be necessary for measurable benefit.

📄 This Review summarizes the primary biological pathways connecting obesity and cancer development.

https://ja.ma/4rg7BKB

🏥 Surgery vs. The "Weight-Loss Jab": Which wins the long game?The headlines might be dominated by GLP-1 receptor agonist...
10/03/2026

🏥 Surgery vs. The "Weight-Loss Jab": Which wins the long game?
The headlines might be dominated by GLP-1 receptor agonists (like semaglutide and tirzepatide), but does the data support the hype when compared to the "gold standard"?

A recent large-scale, multicentre study of over 7,600 patients with obesity and Type-2 diabetes has just provided some sobering long-term clarity. While GLP-1RAs are undoubtedly a vital tool, bariatric surgery remains in a league of its own for sustained results.

The 3-Year Verdict:

Bariatric Surgery: Achieved a staggering 22.9% total body weight loss.

GLP-1RAs: Patients saw a modest 2.3% weight loss over the same period.

Even among those with 12 months of continuous injections, surgery significantly outperformed medication in maintaining weight reduction.

The takeaway? For publicly insured patients battling T2D and obesity, bariatric surgery isn’t just an alternative—it remains the most effective clinical intervention for long-term success.

✨ Exclusive for EAES Members:
We are pleased to announce that this article is free to access for all EAES members. Dive into the full methodology and data via the link below.

🔗 Access the Full Study
Read the article here: https://link.springer.com/article/10.1007/s00464-025-12403-y]

Authors: Avery Brown, Suhani S. Patel, Elizabeth Li, Alexander Hien Vu, Eduardo Somoza, Jialin Chen, Donglan Zhang, Allan B. Massie, Babak J. Orandi, Dorry Segev, Manish Parikh & Karan Chhabra

Among adults with obesity and type 2 diabetes (T2D), metabolic and bariatric surgery reduced the risk for major adverse ...
10/03/2026

Among adults with obesity and type 2 diabetes (T2D), metabolic and bariatric surgery reduced the risk for major adverse cardiovascular events by more than 50% compared with GLP‑1 therapy. https://mdsc.pe/3OM7OYg

25/02/2026

Metabolic Bariatric Surgery is not a failure of willpower 🧠

It is an evidence-based treatment for a complex, chronic disease
recommended for selected patients when lifestyle changes and medical therapy are not enough.
It is not the last resort
It’s the right treatment, at the right time
Regards 💐
Professor Dr. MANZAR ALI
Laparoscopic & Bariatric Surgeon
Appointment for Consultation at
📲 0303 7300750
City Hospital Multan
Fatima Medical Centre

AI chatbots pose 'dangerous' risk when giving medical advice, study suggests9 February 2026.AI chatbots give inaccurate ...
22/02/2026

AI chatbots pose 'dangerous' risk when giving medical advice, study suggests
9 February 2026.

AI chatbots give inaccurate and inconsistent medical advice that could present risks to users, according to a study from the University of Oxford.

The research found people using AI for healthcare advice were given a mix of good and bad responses, making it hard to identify what advice they should trust.

In November 2025, polling by Mental Health UK found more than one in three UK residents now use AI to support their mental health or wellbeing.

Dr Rebecca Payne, lead medical practitioner on the study, said it could be "dangerous" for people to ask chatbots about their symptoms.

Researchers gave 1,300 people a scenario, such as having a severe headache or being a new mother who felt constantly exhausted.

They were split into two groups, with one using AI to help them figure out what they might have and decide what to do next.

The researchers then evaluated whether people correctly identified what might be wrong, and if they should see a GP or go to A&E.

They said the people who used AI often did not know what to ask, and were given a variety of different answers depending on how they worded their question.

The chatbot responded with a mixture of information, and people found it hard to distinguish between what was useful and what was not.

Dr Adam Mahdi, senior author on the study, told the BBC while AI was able to give medical information, people "struggle to get useful advice from it".

"People share information gradually", he said.

"They leave things out, they don't mention everything. So, in our study, when the AI listed three possible conditions, people were left to guess which of those can fit.

"This is exactly when things would fall apart."

Lead author Andrew Bean said the analysis illustrated how interacting with humans poses a challenge "even for top" AI models.

"We hope this work will contribute to the development of safer and more useful AI systems," he said.

Dr Amber W. Childs, an associate professor of psychiatry in the Yale School of Medicine, said since chatbots are trained on current medical practices and data, they also face a further problem of repeating biases which have been "baked into medical practices for decades".

"A chatbot is only as good a diagnostician as seasoned clinicians are, which is not perfect either," she said.

Meanwhile Dr Bertalan Meskó, editor of The Medical Futurist, which predicts tech trends in healthcare, said there were developments coming in the space.

He said two major AI developers, OpenAI and Anthropic, had released health-dedicated versions of their general chatbot recently, which he believed would "definitely yield different results in a similar study".

He said the goal should be to "to keep on improving" the tech, especially "health-related versions, with clear national regulations, regulatory guardrails and medical guidelines".

It found people using AI for health reasons found it hard to identify what advice they should trust.

22/02/2026

1. You will always have problems. Learn to enjoy life while solving them.
2. People don’t decide their future; they decide their habits, and their habits decide their future.
3. In life, you can only control two things: your effort and your attitude.
4. Don’t ask how to start. Start, and then ask how to improve.
5. Happiness has less to do with pleasure and more to do with purpose.
6. Life is harder when you expect too much from the world and too little from yourself.
7. Life gets easier when you expect a lot from yourself and little from the world. High standards, low expectations.
8. Half of your problems are simply your mind turning minor issues into major ones.
9. Don’t look for secrets when what you need is repetition.
10. Don’t let yourself be controlled by three things: people, money, or past experiences.
11. In every challenge or even tragedy, there’s an opportunity. If you train yourself to find the opportunity, you can take control of the situation and even turn it into something positive—or, if it cannot be entirely good, at least something good can come from it.
12. Be thankful every day, because even if you feel there’s nothing to be grateful for, your “normal” day is someone else’s dream.

GLP-1s and micronutrient deficiencies.One of recent articles by Medscape.  Have a look at micronutrients deficiencies wi...
22/02/2026

GLP-1s and micronutrient deficiencies.
One of recent articles by Medscape. Have a look at micronutrients deficiencies with GLP-1 use.

In adults with obesity and/or type 2 diabetes, GLP-1 therapy may lead to nutritional imbalances, with growing evidence indicating depletion of vitamin D, iron, and the B vitamin complex.

21/02/2026

Address

Peer Khursheed Colony Road Multan
Multan
60000

Opening Hours

Monday 15:30 - 17:30
17:45 - 20:00
Tuesday 15:30 - 17:30
17:45 - 20:00
Wednesday 15:30 - 17:30
17:45 - 20:00
Thursday 15:30 - 17:30
17:45 - 20:00
Friday 15:30 - 17:30
17:45 - 20:00
Saturday 15:30 - 17:30
17:45 - 20:00

Telephone

+92 3037300750

Website

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