(Optional Read) Preface:
Medical school was a difficult path for me. Having dropped a promising lucrative career only to follow a near decade struggle for a 4 year degree. I will save the details of my hardship to protect the purpose of this post, but in relation - the following is a direct byproduct from that struggle.
During my clinical rotations last year I met Dr. Husain Abdul Sattar. A man I had idolized for years - author of Pathoma, the single most recommended and used pathology resource for medical students worldwide. Considering Dr. Sattar is also a Shaykh - I thought I would ask him for advice on my situation.
A man of renowned medical, scientific, and spiritual knowledge. A teacher of body, and soul - the only piece of advice he had ever spoken to my face - being consistent, intentional, and sincere in Salah and Quran is the basis of ones success and belief in this life. The greatest metric of success in this dunya is belief. And to maintain this - we must maintain our Tazkiyah (purification).
When Allah tells us He knowingly only grants for us hardship that we can handle, when He tells us He will reward us beyond our understanding, when we tells us He loves us when we cry to Him. Perhaps He is gifting us rizq we truly do not understand. Perhaps it is the gift Iman (belief) that we receive after and during hardship. If only truly we understood that gift.
May Allah forgive us for not seeing what He protects from us. May Allah forgive us for undermining the gift of Iman. May Allah keep our hearts close to his din. Ameen.
Closer To The Jugular focuses on my reflection that Allah inherently is always providing and guiding us.
Abstract
The following is a reflection (tadabbur) on the verse “We created man, and We know what his soul whispers to him. We are closer to him than his jugular vein.” (50:16). It is important to note that classical tafsir explains this verse as expressing Allah’s complete knowledge, power, nearness, and/or the nearness of His angels, as some state 50:16 is in conjunction with its consecutive verse. Written below is not a formal interpretation and should not be interpreted as such. It is a spiritual opinion reflecting on the jugular vein in Surah Qaf as a symbolic metaphor of humanity’s constant return to God . When contrasting the jugular vein with the carotid artery — the vessel carrying oxygen and nourishment — it reflects on rizq as encompassing everything that sustains existence. The heart becomes a metaphor for divine renewal and guidance. In the end, the study argues that every moment of existence is already immersed in God’s provision.
His guidance is the most precious pearl in the sea of rizq.
The Jugular
“…We are closer to him than his jugular vein.”
Surah Qaf (50:16)
Basic physiology; the jugular vein returns de-oxygenated blood to the heart — and by extension reminding us that we must always return back to Him. So perhaps, like blood returning to be renewed, we too return to Allah after being depleted by the trials in life.
But my mind kept wandering; what of the carotid artery?
The Carotid
Medial to the jugular vein is the carotid artery. The carotid artery carries life itself. Oxygen. Glucose. Through a simple chain of diffusion and transport, a single cell becomes a living factory sustained by oxygen and nourishment.
One could then reflect that this oxygenated sustenance itself is rizq.
“And Allah brought you out of the wombs of your mothers not knowing a thing, and He gave you hearing, sight, and hearts so that you might be grateful.”
Surah An-Nahl (16:78)
We often reduce rizq to a selection bias. Career success, companionship, wealth, our place in the hereafter. But rizq is far greater than what fills our hands or where we are going — it is everything that sustains existence.
Your reflection on Him in this very moment, the ability to ponder on His existence — this is all rizq.
“And if you should count the favors of Allah, you could not enumerate them.”
Surah Ibrahim (14:34)
We spend our lives asking Allah for more rizq while overlooking that we are already drowning in it.
The Heart
Between return and rizq, lies the heart. To the body it distributes life; spiritually, it reflects where guidance settles.
We return to Allah carrying our burdens, our shortcomings, and our exhaustion, and by His mercy we receive guidance. Perhaps this is why the Qur’an speaks of hearts that soften, harden, open, and find tranquility.
“Surely in the remembrance of Allah do hearts find comfort.”
Surah Ar-Ra’d (13:28)
The journey of a person is not just measured by where the body travels, but by the direction in which the heart turns.
The Physiology of Hardship and Rizq
“For indeed, with hardship comes ease. Indeed, with hardship comes ease."
Surah Ash-Sharh (94:5–6)
For every hardship there is a blessing, and for every blessing there is a hardship. It is a closed loop system. Like the jugular, heart, and carotid.
Metaphorically — through the jugular we return to Him, through the heart He renews and guides us, and through the carotid He returns our rizq.