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Umer Sharif
What is the profile of the patient?
Name of patient: Umar Sharif
Date of birth: April 19, 1955
Place of birth: Karachi, Sindh
Type of consultation: Humanitarian
Issue: Better treatment abroad


What are the issues?
At 10 PM local time in Chicago, Illinois, on September 11, 2021, a breaking news report was circulated that Umar Sharif in Karachi needs better treatment abroad.

What has been circulated?
The treating physicians have mentioned that Umar Sharif needs treatment within 15 to 20 days.

What was the exact physical location of Umar Sharif on September 12, 2021?
Karachi hospital. Verification required.

All other specific physicians relevant to this issue. This is part of your grand rounds.

On September 12, 2021, Dr. Asif Qureshi from Chicago, Illinois, circulated questions that local treating physicians need to answer relevant to Umar Sharif.

Who were the treating physicians of Umar Sharif on September 12, 2021?
What resources are required for his treatment?
Can the standard of treatment be accomplished locally or abroad?
What was Umar Sharif’s diagnosis on September 12, 2021?
What treatment was the patient getting on September 12, 2021?
What treatment has been recommended that is not available locally?
Can the locally treating specific physician answer these questions, as circulated by Dr. Asif Qureshi from Chicago, Illinois, United States, on or before 1 PM on September 17, 2021?

Umer Sharif
What needs to be accomplished in this case on or after 1 PM local time on September 23, 2021?
Monitor the pulse oximeter 24 hours a day, 7 days a week.
There should be 95% or above oxygen saturation by pulse oximeter.
The local specific physicians in Karachi, Sindh, need to be reminded about their responsibilities.
There is a specific case presentation a physician must make that has not be presented in this case. This shows a lack of training. The facts displayed here are from Umer Sharif’s family members and video coverage. Thanks to those who provided video coverage in the interest of his recovery. Continue further video coverage until he fully recovers.

How should local specific physicians have presented?
The 66-year-old Umer Sharif is conscious and oriented to time, space, and person. On September 22, 2021, Umer Sharif was not in a coma. Umer Sharif was able to spontaneously open his eyes, talk, and move his limbs while sitting, as evidenced in the video. Umer Sharif started having symptoms of breathlessness that were of a cardiac origin. When did these symptoms start? Where did they start? How did they start? These questions need further answers.

Latest pulse oximetry readings: Not available
Blood biochemistry: Not available
Echocardiography ejection fraction: Not available

What is ejection fraction relevant to the human heart?
Ejection fraction is a measurement of the percentage of blood pumped out of a filled ventricle each time it contracts. Ejection fraction is usually measured only in the left ventricle.

What equipment is used to measure the ejection fraction of human heart?
1. Echocardiogram
2. Cardiac catheterization
3. Magnetic resonance imaging (MRI)
4. Computerized tomography (CT)
5. Nuclear medicine scan

What is the normal ejection fraction of a human heart?
A normal ejection fraction is about 50% to 75% according to the American Heart Association.
A borderline ejection fraction can range between 41% and 50%.

What are the causes of a reduced ejection fraction of the human heart?
1. Weakness of the heart muscle, such as cardiomyopathy.
2. Heart attack (myocardial infarction) that damaged the heart muscle.
3. Heart valve problems.
4. Long-term, uncontrolled high blood pressure.

What was the ejection fraction of Umer Sharif at 1 PM on September 23, 2021?
Where is the lesion?
How did you verify the location of lesion with reasons, for example an echocardiography presentation?
Who did or will do further echocardiography?
What is the diagnosis?
What are the workable treatment options?
Who has the answer?
Who is willing to answer?
Who has the responsibility to answer?

Umer Sharif
At 4:14 PM local time in Chicago, Illinois, United States, on September 29, 2021, it was circulated through Geo News that Umer Sharif is communicating with Dr. Tariq Shahab.

Dr. Asif Qureshi circulated that his humanitarian services stop here.

How can Dr. Asif Qureshi help in these situations?
I can help you in reaching the correct diagnosis.
I can help you in reviewing previous diagnoses.
I can help you in recommending the best treatment available.
I can help you in mobilizing government resources for treatment.
I can help you with problem solving when others cannot manage the situation.
I can help you in prolonging the patient's life and enhancing the patient's well-being.

Umer Sharif
At 1:05 PM local time in Chicago, Illinois, United States, on Saturday, October 2, 2021, it was circulated through Geo News that Umer Sharif passed away in Germany. The death occurred the morning of Saturday, October 2, 2021.

Age at the time of death: 66
Date of death: Saturday, October 2, 2021
Date of birth: April 19, 1955
Location of death: Nuremberg, Germany
On Monday, October 4, 2021, in Nuremberg, Germany, the further process of issues will proceed, including the transfer of the body.

Dr. Tariq Shahab has been looking after the medical arrangements of the ailing Umer Sharif.
In Germany and elsewhere, officials had to fulfill international obligations.

Questions that need to be answered.

What is Dr. Tariq Shahab’s answer to this situation?
When did Dr. Tariq Shahab last talk to Umer Sharif? What did they talk about?
With which specific physicians in Karachi did he communicate before the death of Umer Sharif?
Why could they or other administrators not answer the relevant questions when they were responsible for doing so?
What is the answer of the specific physicians in Karachi who failed to answer the relevant questions in a timely manner?
Who had and accepted the duties and responsibilities relevant to these issues other than humanitarian issues?
What is dghealthsindh@sindhealth.pk’s and sec.health@sindhhealth.gov.pk’s answer to this situation?
Why did you fail to answer the relevant questions from September 23, 2021, in a timely manner?
What is the answer of specific physicians and their supervisors in Germany to this situation?
What is the profile of the Nuremberg hospital in Germany?
Who’s who at this hospital relevant to these issues?
What has been written on the German death certificate in terms of causes and circumstances of death?
Why was there administrative controversy in Nuremberg, Germany, during the 3 days of his stay?
Who among lawmakers in Germany is responsible for these issues on or after October 3, 2021?
Local medical examiner in Germany: What is your answer to this situation?


They tried their best to transfer him and mobilized the resources necessary; at the same time, there has been other medical and administrative negligence.

What else must happen?
Forensic psychiatrists and others from Sindh and elsewhere, including Germany and the United States, must take up this case from October 3, 2021, onwards to ascertain the causes and circumstances of medical and administrative negligence.

Last Updated: October 3, 2021