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Dr K K Aggarwal

1.There are two types of people who believe in Dvaita or Advaita philosophy.

2. People who believe in Dvaita philosophy, for them God and human being are different.

3. The people who believe in Advaita philosophy believe that God is within them.

4. In Hinduism, the first group believes in Sanatan Dharma and does Moorti pooja and second one Arya Samaj who do not indulge in Moorti pooja.

5. In both situations, medically the message is one.

6. If God is different than you, then you try to be like Him and if God is in within you, then you are Him.

7. In both situations, we should deal with our body the same way as we deal with God.

8. Anything which is not offered to God we should not offer to our body. The examples are cigarette, drugs etc and or such things should be consumed in less quantity (onion, garlic, radish etc.).

9.      We never worship God with hydrogenated oil; we always worship him either with oil or with Desi Ghee. The message is we should not consume transfat.

10.  “Bhagwan ko bhog lagate hain” and we never feed the God. The message is, we should eat less.

11.  Amongst all Gods, only Lord Shiva is said to consume Bhang and Alcohol that too only in Bhairon incarnation which indicates that both alcohol and bhang can be consumed in some quantity only in special situations that means that they cannot be consumed without medical supervision.

12.  Anything grown under the ground is not offered to God, thus, these items should not be eaten or eaten in moderation.

13.  We never offer God white salt and white rice. They are bad for human beings also.

14.  Gur, shakkar, brown rice and puffed rice are offered to God. They can be consumed by human beings.

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There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications. People tend to consume more alcohol in winter and near the New Year.

  • Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  • The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  • For young to middle-aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  • Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  • · Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  • Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 grams per day. Medically safe limits are 10 grams in one hour, 20 grams in a day and 70 grams in a week. (50% for the women).
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1. One day I asked one of my patients whether you smoke or not. He said, “Kabhi kabhi cigarette peeta hoon.” I wrote on my file he smokes occasionally. His wife got upset and asked me to ask him, “What does he mean by ‘Kabhi kabhi peeta hoon’?” When asked he said that he does not smoke all the time “kabhi kabhi to ghante nikal jate hain aur me nahi pita” (some time sits hours that I do not smoke)

2. One day a patient came to me after three months and said, “Doc three months back I was having fever and you had told me not to take any bath. All this while, I was busy and could not come to you. Can I take a bath now?”

3. Chod diya. A patient came with his wife and the wife asked me to ask the patient, “Cigarette Chod do”. I also counseled and said, “Cigarette Chod do”. A few weeks later, he said, “Chod diya.” There are four meanings of Chod diya:

i. Biwi ko Chod diya

ii. Doctor ko Chod diya

iii.Dono ko Chod diya

iv. Cigarette ko Chod diya

4. After an echo test, one of my patients asked a technician, “can I eat?” and my technician told, “You can eat after one hour.” A few minutes later, the patient came to me and asked me the same question without telling me that he had already asked my technician. I said, “You can eat.” He said, “Your technician said after one hour.” I was in embarrassing position. I said to make it light, “he told for you not to eat for one hour and not for the patient.”

5.  One of my patients said that he never drinks more than three pegs. His wife said, “Don’t believe in him. After three pegs he does not remembers how many pegs he drinks.”

6. There are funny examples of cigarette smoking:

i.  Smokers do not grow old (as they die in young age)

ii.  Smokers do not get second heart attack (most die in the first attack)

iii. Smoking cures cancer (most smoke related lung cancers have only six month’s life)

iv. Thieves do not come into the smoker’s house as he coughs throughout the night.

v.Smokers’ brothers do not fight for property (their property has already gone to hospitals for treatment of smoking related disorders)

vi. Smoker’s wife does not suspect him (smoking leads to impotence).

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Can Cardiac Death Occur After A Blunt Injury?

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The postmortem report of Delhi police constable Subhash Tomar has reportedly stated that the cardiac arrest was precipitated by blunt injuries to his neck and chest.

Constable Tomar who died at RML Hospital in Delhi probably died of a heart attack. Whether or not he sustained some injuries from the protesting crowd, it cannot be denied that he was received in hospital in a state of cardiac arrest. He was revived for some time but ultimately succumbed to the consequences of cardiac arrest.

So can blunt injury precipitate sudden cardiac death? Commotio cordis is an event, which occurs as a result of a blunt, non-penetrating and often innocent-appearing blow to the chest wall directly over the heart. This induces instantaneous ventricular fibrillation leading to sudden cardiac arrest. The person collapses and stops breathing. It becomes crucial to act fast. Immediate cardiopulmonary resuscitation (CPR) and if available, use of automated external defibrillator (AED) will help revive the patient. If not, the outcomes are tragic with sudden cardiac death.

This incident again is a reminder of the fact that all of us need to learn CPR and act in time. A successful resuscitation is only possible if it is done by bystanders within 10 minutes of death, earlier the better.

Remember the CPR mantra “within 10 minutes of death, earlier the better, at least for the next 10 minutes, longer the better, compress the centre of the chest of the victim effectively and continuously with a speed of 10×10 i.e. 100 per minute.”

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Originally, Hindu marriages were always held in daytime. As per Vedic knowledge and Bhagavad Gita, auspicious time is in Uttarayana, before full moon, in daytime and near agni and light. Medically, you are more mentally positive during this period. Marriage were shifted in the night only during a particular era a few hundred year back when kings of that era were ruthless and used to pickup young good looking women to spend night with them. To escape from them, people started getting their doctors married in night time so that their daughter is not divulged to the king’s soldier.

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The hottest thing right now is renal-nerve denervation.

When you cut the renal nerve, you are cutting the signal from the kidney back to the brain and the rest of the body. That is what is bringing down the blood pressure; the kidney is in a way regulating the sympathetic nervous system and telling the brain what to do.

 

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It is a well known Vedic fact that if you hurt ego of a person, he will never forgive you, especially, if you have insulted or implicated him in character assassination, cast implications, financial embezzlement or in public, you call a woman as old or a man as impotent.

For example, if I hurt ego of a chowkidaar, next time if a patient comes to the hospital gate and asks where Dr. KK Aggarwal is, he only has to whispery, “which Aggarwal, whose cases never survive?”

Also never hurt the ego of a person who is drunk. Under the influence of alcohol, a person loses his capacity to judge persons and situations. If you provoke him, he can be destructive and aggressive.

 

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Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women receive only 33% of all angioplasties, stents and bypass surgeries; 28% of implantable defibrillators and 36% of open-heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact in men and women, certain factors play a bigger role in the development of heart disease in women.

  1. Metabolic syndrome — a combination of increased blood pressure, elevated blood glucose and triglycerides — has a greater impact on women than men.
  2. Mental stress and depression affect women’s hearts more than they do men’s.
  3. Smoking is much worse for women than men.
  4. A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  5. Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques build-up and diseased smaller arteries are two reasons why symptoms can be different in women.
  6. In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, Shortness of breath, Nausea or vomiting, Sweating, Light-headedness or dizziness and unusual fatigue.
  7. Endothelial dysfunction is more common in women. In this the lining of the artery does not expand (dilate) properly to boost blood flow during activity, which increases the risk of coronary artery spasm and sudden death.
  8. WISE study results suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best option for women with more diffuse plaques.
  9. Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in women.
  10. The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.
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