March 31, 2026

Research Paper: Fatigue in patients with acquired brain damage- by Dr.Afshan Hashmi

Show Notes
Transcript

Fatigue is a complex, multidimensional syndrome that is prevalent in patients with acquired brain damage and has a negative impact on the neurorehabilitation process. It presents from early stages after the injury, and may persist over time, regardless of whether sequelae have resolved. Fatigue is conditioned by upper neuronal circuits, and is defined as an abnormal perception of overexertion.

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Books, pdproducts, science, fashion and glam talk from Bollywood to Hollywood.

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It's Meet and greet with doctor Ashan Hashmi right here

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on KURHD Radio and Talk for TV. And here's your host,

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international speaker, educator, award winning entrepreneur and best selling author,

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doctor Afshan Hashmi.

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Hello everyone, this is your loving host and best selling authors,

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radio and TV personality doctor Rafshan Hashmi live from a

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studio in Rockville, Maryland, and today, folks, you know, I

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want to wish everyone a happy and a blessed Easter.

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And I love to celebrate Easter because you know, Easter

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is a Christian holiday. But you know I have studied,

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you know, from a Christian machinery school in India, and

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so we used to celebrate Easter and hunt for eggs

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and all. So I want to wish everyone happy Easter.

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And I went to the mall and got this photograph.

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You know, mate, I want to do these kind of

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fun things, you know, and I wanted to share that.

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And then I made these photographs you know, and this

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one see and this one and this one see. So

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how did you like them? I would love, you know,

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people you know, comment on that. And before we dive

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into the show, these are my two books. The first

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one is the Modern Local Mentality, New Strategies to Succeed

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in India and the global marketplace, and the second one

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is The Outbreak of a Monstrous Infection. So these books,

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you know, both were mson best sellers, and this one

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was Amazon bestseller in USA and India and hot number

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one new release in USA, and the Outbreak of a

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Monster's Infection was Amazon bestseller in USA. And also, you know,

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I want a movie or a documentary to be made

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of the Modern Local Mentality and for Outbreak of a

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Monsters Infection, I want a movie or a web series

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to be made. And tail Flix has given me a

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very good evaluation of this. So those all those tail flicks,

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you know, all those producers, please go and look at it.

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On my website www dot shanhash mei dot com where

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you will see tail Flix evaluation and also please go

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to please go and give me a sponsorship also and

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please go and make this movie or documentary and web

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series or TV serial and please contact me all those

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documentary web series and Hollywood Bollywood and if you net

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Netflix and Amazon, if you want, you know, to do that,

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to do the interview, you know, please to please you know,

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if you want to interview me for that, please contact

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me at augh Shan at yarra shan Hashmi at dot com.

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And I I am looking for guests on my show,

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so please go. If you want to come on my show,

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please contact me at augh Shan at arrashanhash me dot com.

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And I would love love to host many of you.

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And there is a price of that and I gave

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a very nominal price and I have If you go

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to my website www dot shanhash me dot com, you

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will that there I have put up a life story

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kind of a thing, you know, So in five thousand dollars,

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you know, I will give you five settings you know,

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and I will do like a.

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Like a life story.

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I will interview you for one hour and then you know,

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I will give you one uh one edit of of

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uh this edition of the whole thing, and then I

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will give you the file as well as.

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I will load the file.

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Having said that, folks, you know now I will be

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talking about this paper, you know. And and but before

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us dive in, I want to read a little bit

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from the study around. So the sura, which is open,

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is a column yes, and it says it is said

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that the Korash were trying to attack the profit through

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the use of the evil eye, but that this verse

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was revealed as a means of protection. According to one report,

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there was a man among the Arabs who used to

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abstain from food for two or three days and then

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raise part of his tenth as the cattle passed by,

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and say there are no grazing camels or cheap today

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better than these, And the cattle would not proceed far

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before some of them would fall dead. That disbelievers ask

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this man to give the evil to the messenger of God.

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But God protected his profit and revealed this verse. Although

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some attribute the evil lie, which afflicts people with misfortune

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through envy and jealousy, to legend to profit is reported

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to as seek refuge in God, for the evil eye

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is real in this way, and he enjoyed his companions.

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One of you see something of his brother or himself

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or his wealth that he admiresed them. Glorify God, for

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the evil is real. And I have another proposal, So

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this is from the Holy Koran, the study Ran, and

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I have another proposal for my I'm looking for a

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sponsorship for my show, and for five thousand dollars I.

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Will give you.

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You know, I will give you two let me say

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all together eight eight sittings of thirty minutes each and

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in that thirty minute, five minutes will be your ad

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and the rest twenty five minutes I will give you

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in eight podcasts, and I will distribute it to all

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the more than one hundred outlets. And you can go

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to my website and radio website s ttp slash slash

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www dot Doctor of Shanhashm's radio dot com. And you

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can see that website on www dot shanhash Me dot com.

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So if you or you can google me doctor of

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Want this show to continue. Having set that fence, I

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the world is depending on you, and now doctor ash

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on Hashme's radio show.

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So now it is.

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The paper is in Neurologia and Journal, and the paper

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is called fatigue in patients with a quiet brain damage

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by age Hores Belonde. And here it is, And I

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wanted to talk about illegal droning and illegal espionage. Me

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and my parents and my family has been a victim

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of illegal droning and illegal espionage for more than twenty years.

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And because of that, you know, from twenty eleven to

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twenty fifteen, there were many deaths in the family, my father,

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my mother, my younger autistic brother. And now in twenty

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sixteen January, my ex fiancee was dead. And then, you know,

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because of illegal roning and illegal espionage, and also because

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of illegal espionage and illegal droning, my husband was killed,

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you know, last year and he was completely fine, and

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he got dementia and parkinson and that is a terminal disease.

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So now, folks, you know, I have to tell you

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that what should I do regarding it? So I did

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a literature search and I found out this paper. Because

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I have also become quite slow. You know, there's sometimes

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there is so much of illegal droning and illegal espionage

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in my house. My house is a mess, you know,

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things are breaking down, and you know what I came

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because of all this and I'm waiting for Although I

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have insurance, I'm waiting for them for past one year.

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They haven't come to give me the cleanup of the

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house and everything. So what I Am going to do

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is go and do this is that I will read

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this that how I feel fatigue. After this show, I

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will go and do some exercise, you know. And that

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helped me yesterday I went there. That helped me. So

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I said, however much exercise I can do, I should

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do that. And it says fatigue is a complex, multi

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dimensional syndrome that is prevalent in patients. And yes, I

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want to do a disclaimer. I'm a PhD doctor with

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PhD in biochemistry, with PhD in biochemistry and see chemistry

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clinical chemistry certification from American Society of Clinical Pathology and

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this one is Regulatory Affairs certified. So and I have

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done a lot of clinical research. Even my PHDAR was

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on blood cells, you know how the how hemoglobin different

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kinds of hemoglobin was in my m film and then

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effects of fenyl hydrazine on red blood cell membrane. And

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you can do a pub spem met search on me.

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And I was able to write a paper. So now

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folks you know, this is a very important thing that

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the people should So if you are having fatigue, don't

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just sit go and talk to your medical professional. I

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go there every month, you know, and I get myself checked.

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But you never know what can irrupt because of this

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illegal droning and illegal espionage. And see, because of that,

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I have so many of white spots here. See this,

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this is not a very good sign, you know. So

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I have to get a full cleanup, you know, of

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my body, you know, And yesterday I dispensed. I don't

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know how much impurity, and I don't know how it

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came into my body. So, you know, fatigue is a complex,

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multi dimensional syndrome that is prevalent in patients with a

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quiet brain damage and has a negative impact on the

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neuro rehabilitation process. I feel that, you know, my husband

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was not given the right treatment, you know, and he

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was so much illegally droned and illegal espionage that you know,

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it all happened to him and eventually he died. And

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we see very young people. I see so many sick

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children around in this county. This is one of the

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most expensive counties after Hollywood, you know, and it is

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near Washington, DC. I live in suburbs of Washington, DC

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metro area, and it is very expensive out here to

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live here.

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So you know, if we do, if we.

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Become slow, and if we cannot you know, earn money

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or anything because of this disease.

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I don't have any children.

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My husband has died, so I am in a very

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very difficult situation. What tomorrow If I die in the

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house due to illegal droning and illegal espionage, there is

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nobody to look after me. So just think about all

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these consequences. And people who do illegal droning and illegal

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espionage are terrorists.

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That's what I feel about them.

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And it presents from early stages after injury and may

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persist over time regardless of weather.

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Squally have resolved.

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Fatigue is conditioned by neural circuits and is defined as

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an abnormal perception of over exhaustion.

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So you know, here I have like here, I have pain.

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You know sometimes I have pain here and it can

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lead to tumor, you know. So, and I am very young.

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So illegal droning and illegal lespinach inhibits that neuro rehabilitation process.

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So you know, if you get illegally droned and you

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get clinically cleaned, you know, by your doctor and all.

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And then again they don't do droning, you know, so

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that high and low can make you very very sick

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and also very very very susceptible to diseases. And please

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go and consult your physician. I am not a physician.

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I am just a researcher. And now I have left

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research and I do my radio show. But whatever knowledge

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I have acquired, I go to permud and do search

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and the paper of today's interest. I have what what population,

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American population or global population needs to know. I go

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and search for those kind of papers, you know. Having

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said that, folks, now I will go on a break

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and will be back soon.

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Agreement around the I am with you strange and talk

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for few friends. I am like Maryland in a country club.

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And I just limited to say that please her search which.

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Go on.

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For money to produce these coal Having said gipons.

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He.

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from some of our sponsors.

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A monstrous infection is spreading worldwide. Oh my god, is

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this a simple infection or a deliberate attempt to ruin

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the human population, or maybe it's bioterrorism. What is this

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global infection and who is spreading it? Help us find out.

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Monstrous Infection. The human race needs your help to make

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this go viral. Go to Amazon dot com and read

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the Outbreak of a Monstrous Infection to find out what

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happens next. Go now, the world is depending on you.

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The Outbreak of a Monstrous Infection Chapter one, nineteen sixty

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four to twenty eighteen. And this is the sample track

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and it is read by doctor Rafshan Nahid Hashmi in

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a sprawling banglaw In Potomac, Maryland, USA, live doctor Honey Singh,

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a both certified internal medicine and family practice physician. Along

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with his beautiful wife, Baby Singh. Baby Singh was a

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fashionista and was funding women's causes through her Honeybay Foundation.

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She had a lady's book club by the name of

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Baby's Blam and Glitzy Club which had many glam and

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glidsey ladies who were professionals living in Washington, d C. Potomac, Maryland, Virginia,

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and even Beverly Hills, California, as well as alde from

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all of America, meeting at her place on the last

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Wednesday of every month, discussing various aspects of charities they

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wanted her and doctor Honey to fund. In this club,

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there was a wide spectrum of career women. There were doctors, lawyers, actresses,

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business owners, and models to name a few. In these

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book club meetings, members would come prepared after reading a

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book of a famous woman author, and that author was

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even invited from any part of the world to give

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00:20:44.640 --> 00:20:48.279
her presentation, followed by a Q and A in this

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prestigious and elite gathering.

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And now thanks to doctor Offshan Hashmi's radio.

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Shows, introduction acquired brain energy ABI is recognized by the

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World Health Organization as the leading cause of disability worldwide.

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Stroke is the most frequent type of ABI, with an

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incidence of one hundred and fifty to two hundred cases

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per one hundred thousand persons years. In Spain, this rate

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is similar to that of traumatic brain injury TBI, with

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two hundred cases per one hundred thousand person years. Other

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less frequent types of ABI are brain tumor surgery and

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so in fellopathy, and encephalitis. Fatigue is common in patients

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with ABI and has a negative impact on neuro rehabilitation,

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hindering their involvement in treatment and recovery in the long term.

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This review aims to summarize the evaluable evidence on some

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relevant aspects of fatigue. In ABI definition, fatigue is a

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sensation of exhaust exhaustion, lack of energy, and aversion to

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effort that may develop during physical or mental activity and

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that usually does not decrease with rest. The difference between

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fatigue and tireedness is that while the latter is proportional

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to the effort exerted, the formal is associated with an

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exaggerated disapproptionate perception of effort. Fatigue is a complex, multi

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dimensional concept with psychological, motivational, situational, and physical dimensions. As

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in other brain disorders, following a BI, fatigue is a

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consequence of an abnormal perception of over exertion and the

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consequent disruption of descending motor pathways. Several classifications of fatigue

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have been proposed based on this concept, So some researchers

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and again, I'm having pain here, so now I will

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go on a brain can will be back soon. Hello, everyone.

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This is Doctor of Shan Hashni live from a barn

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country club in Virginia, and I just wanted to say

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that my K four SHD radio and top for TV

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show called Me Andy with Doctor of Shankshni is syndicated

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worldwide and has more than three hundred million listeners. And

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if you want these shows to continue, please gave a sponsorship.

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And I request to please give a sponsorship because these

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shows require a lot of energy and money to produce.

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So I would request every month to give me sponsorship

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and your product quid be promoted in a very reasonable price.

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And you can contact me Atafshan at Trufshanhashmi dot com.

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Peers and bye bye.

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to over three hundred million potential listeners, Send an email

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to invo at talkform media dot com. And now let's

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hear from some of our sponsors.

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Hey, monsters, infection is spreading worldwide. OMG. Is this a

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simple infection or deliberate chempt to ruin the human population?

353
00:25:51.559 --> 00:25:56.119
Or maybe it's biothermrorism? What is this global infection and

354
00:25:56.200 --> 00:25:59.799
who is spreading it? Help us find out? Got Amazon

355
00:26:00.079 --> 00:26:04.240
and search for the outbreak of a monstrous infection. The

356
00:26:04.359 --> 00:26:06.799
human race needs your help to make this go viral.

357
00:26:07.319 --> 00:26:10.359
Go to Amazon dot com and read the Outbreak of

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00:26:10.400 --> 00:26:14.160
a Monstrous Infection to find out what happens next. Go now.

359
00:26:14.559 --> 00:26:29.880
The world is depending on you and now back to

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00:26:29.960 --> 00:26:40.079
doctor ash on Hashme's radio show.

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00:26:36.759 --> 00:26:40.119
In the So now this is here and the time

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is only you know, it's six twenty seven and fifteen

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00:26:44.839 --> 00:26:47.640
minutes are left, so I cannot read the whole paper.

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If you are interested, please go and look for the papers.

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And then it says epidemiology. In the field of neurology,

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fatigue is high prevalent in patients with such conditions as

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multiple is chlorosis eighty percent to ninety percent. In the

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context of acquired neurological injuries, the prevalence of fatigue in

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patients with his spinal cord injury ranges from fifty to

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fifty seven percent from very early stages persisting over the

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course of the disease. So this is what it is

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and fatigue in patients with acquired brain injury. Several modi

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modifiable and non medifiable factors explain not only the appearance

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of fatigue, but also progression or worsening over time pathop physiology.

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The path of physiology of fatigue in ABI is unknown, however,

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as this is a distinct phenomena occurring in patients with

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a wide range of neurological disease. Deeper understanding of his

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path of physiological basis in conditions unrelated to ABI, meys

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shed light on the mechanism and potential for fatigue link

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to ABI. Several trigger factors have been proposed at the

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neuronal and neurotransmission level, alterations in cortical excitability, at the

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neuroanatomical level localization of specific legions, and at the genetic

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and epigenetic level, alterations in metabolic and inflammatory mechanisms.

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Post stroke fatigue.

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Stroke is the leading cause of death and disability in

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many countries. Due to the lack of universal definition of fatigue,

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it is not possible to establish the exact prevalence and

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incidents of this complication. For fatigue following traumatic brain injury

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TBI is very frequent in neuro rehabilitation units, which explain

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why it is the second most studied disease and is

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associated with high prevalence rates of post TBI fatigue. Although

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most cases of TB are mild, with non specific symptoms

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resolving within three to six months, some patients present silent

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residual symptoms known as post concursive symptoms, for example fatigue,

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which have a negative impact on the patient's social reintegration

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Research Paper: Fatigue in patients with acquired brain damage- by Dr.Afshan Hashmi

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