They Wanted My Silence

Ali was a doctor, content with late nights by the river and weekends with his parents in Loqman. A friend’s advice and the growing needs of his family took him to Marazi, a glittering desert city that seemed to promise opportunity.

Behind its polished hospitals he found a different system: careers controlled by paperwork, favours exchanged for silence, and powerful interests ready to make refusal impossible.

When a prepared cancellation is placed across his desk and an accusation is made against his wife, Ali faces a decision that will change his life.

He signs. It is not the end of his story.

A working companion for the clinic, the ward and the examination room, written by Dr Mahmoud Elkaramany, Consultant Gastroenterologist. It brings modern UK practice in adult Crohn’s disease and ulcerative colitis into one place.

• Diagnosis, classification and the activity scores worked through: Truelove and Witts, Mayo, HBI, CDAI, SES-CD, Rutgeerts
• Thiopurines, methotrexate, biologics and small molecules with current UK dosing and NICE positions
• Therapeutic drug monitoring, acute severe colitis and other emergencies
• Perianal disease, surgery and pouchitis; pregnancy, vaccination and nutrition
• Treat-to-target monitoring and colorectal surveillance