If what drives you is worldly matters and it controls your life to the extent that if you need to delay a prayer or consume haram or be silent to haram and you do this, this is a clear indication that your priority is his life and not the hereafter.

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No problem in sleeping like that. As for the toilet sink facing the Qibla: It is an issue of dispute. If there is no other way, it is permissible.

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If you can do both, this is a win win situation. However, studying medicine is full of haram such as free mixing and other things. I recommend that you get married and take care of your children and family. Going to USA  and leaving your Muslim country is not a good idea at all.

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