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Dr K K Aggarwal

A: Yes if

1. I am no longer able to do my routine work without help

2.  I have pain that keeps me awake at night despite the use of drugs

3. I have pain that keeps me from being able to walk or bend over

4. I have pain that isn’t relieved by rest

5. I have pain that is not responding to non-surgical approaches.

6. I have been told that less-complicated surgical procedures are unlikely to help.

7.  The disease osteoarthritis is wearing me down physically, emotionally, and mentally.

8. I am suffering from severe side effects from the drugs

9. Advanced arthritis is demonstrated on my test

10. If significant joint damage has occurred on my tests.

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Any activity should always engage the 3H model – of heart, the head, and the hand. The same has been advocated by the western scholars. The concept means that while doing any work one should ask the head for choices, then refer these choices to the heart to choose one and finally order the hands to do the action.

Deepak Chopra also talks about this in great detail in his book The Seven Spiritual Laws of Success. He writes that conscious-based decisions are the best decisions. Before taking any decision he recommends asking the body for the signals of comfort or discomfort and if the signals of discomfort are perceived, then one should not indulge in that action.

All of these concepts come from ancient Vedic knowledge. The two main mantras are the Mahamrityunjaya Mantra and the Gayatri Mantra.

The Mahamritunjaya Mantra comes from the Rig Veda. This is the greatest reliever from all evils: ‘Aum Trayambakam Yajamahe, Sugandhim Pushtivardhanam, Urva Rukamiva Bandhanan, Mrityor Mokshiye Mamritat’. It means ‘we worship Shiva – The Three-Eyed Lord; who is fragrant and nourishes all beings; May he protect us (bandhan) from all big (urva) diseases (aarookam). May he liberate us (mokshiye) from death (mrityor), For the sake of immortality (mamritat, amrit); as the cucumber is automatically liberated, from its bondage from the creeper when it fully ripens.’

The manta speaks of the importance of the third eye and its benefits. The two eyes are at the level of the physical body. The third eye means the eyes of the mind and the soul. It also indicates that in difficulty one should look inward with the eyes of the mind and ask for choices. Like the cucumber, one should choose the good ones and drop the bad choices. (‘Jo acha lage use apna lo; Jo bura lage use jaane do’).

The mantra for conscious-based decisions comes from Gayatri Mantra. ‘OmBhur Bhuva Svah Tat Savutur Varenyam Bhargo Devasya Dheemahi Dhiyo Yo Nah Prachodayaat’. It means:‘we meditate on the glory of the Creator; who has created the Universe; who is worthy of Worship; who is the embodiment of Knowledge and Light; who is the remover of all Sin and Ignorance; may He enlighten our Intellect.’

 It talks about the importance of conscious-based decisions and its directions to the intellect to choose the right and not the convenient actions.

The Gayatri Mantra is the Vedic prayer to illuminate the intellect. Gayatri is considered Vedasara or “the essence of the Vedas”. Veda means knowledge, and this prayer fosters and sharpens the knowledge-yielding faculty. As a matter of fact, the four mahavakyas or ‘core-declarations’ enshrined in the four Vedas are implied in the Gayatri Mantra.

Making the right decision from the consciousness was later defined by Buddha. He taught that before any action ask yourself the following four questions and if the answer to any of the questions is ‘no’,  that action should be avoided. These four questions are:

•      Is it the truth?

•      Is it necessary?

•      Will the action bring happiness to you?

•      Will the action bring happiness to others?

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Yes: MCI, No: Association

 Pharma industry funds for IAP: IAP Annual Report 2012

Company Funds given in lakh Rs

Johnson and Johnson (118.4); Merck (98.6); Wyeth (13.3); Sanofi Pasteur (11.4); Zuventus (11); Glaxo SmithKline (5); X-ray Biocom (4.5); Serum Institute (3); Pfizer (2). Total (267.2)

Law Cited: 6.8.1 In dealing with Pharmaceutical and allied health sector industry, A MEDICAL PRACTITIONER shall follow and adhere to the stipulations given below:-

a) Gifts: A medical practitioner shall not receive any gift from any pharmaceutical or allied health care industry and their sales people or representatives.

b) Travel facilities: A medical practitioner shall not accept any travel facility

d) Cash or monetary grants: A MEDICAL PRACTITIONER shall not receive any cash or monetary grants from any pharmaceutical and allied healthcare industry for individual purpose in individual capacity under any pretext. Funding for medical research, study etc. can only be received through approved institutions by modalities laid down by law / rules / guidelines adopted by such approved institutions, in a transparent manner. It shall always be fully disclosed.

Issue

The Indian Academy of Pediatrics (IAP) has flouted Medical Council of India regulations

1. By accepting funding from the pharma industry

2. Violating code of ethics prohibiting endorsement or promotion of any brand.

Defense

1. MCI regulation is about individual doctors not accepting funds or gifts and not about associations.

2. Under 1860 societies act members of the association are not monitory beneficiary of the society funds.

What MCI says

It was illegal for associations of doctors to take funds from companies.

Conflict of interest

IAP is a member of the National Technical Advisory Group on Immunization (NTAGI) which decides immunization schedule and selection of vaccines to be included in the NIP.

Legal views

1. MCI 6.8.1 does not cover associations and trusts

2. Unless the doctors is proven to be a beneficiary he cannot be implicated

3. In charitable societies members are not suppose to take monitory benefits

4. Societies should not be funded or there activities sponsored by companies I which they have conflict of interest.

5. Endorsement issue in the High Court.

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All success stories are stories of great failures. The only difference is that every time they failed, they bounced back. This is called failing forward, rather than backward. You learn and move forward. Learn from your failure and keep moving.

The third avtara of Vishnu, the boar, signifies the same. The answer is persistence in your objectives.

Here are few quotes and success stories

1. “So never mind these failures, these little backslidings; hold the ideal a thousand times, and if you fail a thousand times, make the attempt once more. The ideal of man is to see God in everything”.  II.152 (Complete Works of Swami Vivekananda)

2. “It is in the nature of things that many should fall, that troubles should come, that tremendous difficulties should arise, that selfishness and all other devils in the human heart should struggle hard, when they are about to be driven out by the fire of spirituality. The road to good is the roughest and the steepest in the universe. It is a wonder that so many succeed; no wonder that so many fall. Character has to be established through a thousand stumbles”.  VIII.383 (C W of SV)

3. “Therefore, stand up, be bold, be strong. Take the whole responsibility on your own shoulders, and know that you are the creator of your own destiny”.  II.225 (CW of SV).

4. “ Successful people don’t do great things, they only do small things in a great way”

5. “One day a partially deaf four year old kid came home with a note in his pocket from his teacher, “Your Tommy is too stupid to learn, get him out of the school.” His mother read the note and answered, “My Tommy is not stupid to learn, I will teach him myself.” And that Tommy grew up to be the great Thomas Edison. Thomas Edison had only three months of formal schooling and he was partially deaf”.

6. “Henry Ford forgot to put the reverse gear in the first car he made”.

7. “Thomas Edison failed approximately 10,000 times while he was working on the light bulb”

8. “Henry Ford was broke at the age of 40”.

9. “Lee Iacocca was fired by Henry Ford II at the age of 54”.

10. “Young Beethoven was told that he had no talent for music, but he gave some of the best music to the world”
(With inputs from Dr Vivek Chhabra and Ravi Ponangi)

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Spurious drugs

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The spurious drugs trade is believed to be 30-40% of total market as focused by the media. However, according to the official reports from the Government of India, the spurious drugs amount to only 0.3 to 0.4% of the total market.

Spurious drugs are mainly the products which are deliberately and fraudulently mislabeled and manufactured to mislead and misrepresent the patients by concealing their identity, source of manufacture and its content to profiteer on the popularity of fast moving branded or generic medicines. It may or may not contain the active ingredients in the manner mentioned on the label.

Law: Drug shall seem to be spurious if it falls within the definition as per Chapter IV, Sec. 17B of the D&C Act:

a)If it is manufactured under a name which belongs to another drug; or

b)If it is imitation of or is a substitute for another drug or resembles another drug in a manner likely to deceive or bears upon it or upon its label or container the name of another drug unless it is plainly and conspicuously marked so as to reveal its true character and its lack of identity with such other drug; or

c)     If the label or container bears the name of an individual or company purporting to be manufacturer of the drug; which individual or company is fictitious or does not exist; or

d)If it has been substituted wholly or in part by another drug or substance; or

e) If it purports to be the product of a manufacturer of whom it is not truly a product.

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In one o the seminars Father Tomas compared all religious faith with honey. He said that honey bees go from one flower to another and collects nectar and it is the mix of the nectars from various flowers that honey is produced with its sweetness.

Similarly the aim of sarva dharma meetings should be to take the essence from all faiths and religions and combine them to make one that can be used as a prescription to achieve health and happiness.

Medical profession is also a religion as is based on all the principles of dharma.  For a doctor there is no religion, cast or creed. For him disease is a disease and his job is to cure a person of the sufferings and bring back happiness.

Doctors can be compared to a honey bee whose job is to get the best of all pathies and religions and use them holistically to treat a person.

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According to the Global Burden of Disease Study, the developing countries contributed 3.5 million of the 6.2 million global deaths from CAD in 1990 writes Dr.  Kannan and Colleagues from Dept. of Pharmacy Practice at Sri Rama chandra University, Porur, Chennai in the January Edition of Indian Journal of Clinical Practice

Coronary artery disease (CAD) occurs when the arteries that supply blood to the heart muscle harden and narrow.

The prevalence of CAD inIndiahas more than doubled in the past two decades.

India topped the world with 1,531,534 cardiovascular disease-related deaths in 2002, and based on WHO report, 2009, CAD currently occupies the first place in cause of death.

It is estimated that 9.2 million productive years of life were lost inIndiain 2000, with an expected increase to 17.9 million years in 2030.

Salient features of the CAD epidemic inIndia:

  • Incidence of CAD in young Indians is about 12-16%, which is higher than any other ethnic group
  • Age-standardized estimates for Disability-adjusted life lost due to CAD per 1,000 population inIndiaare three times higher than in developed countries
  • About 5-10% of heart attacks occur in Indian men and women younger than 40 years
  • Median age of first heart attack in Indians is 53 years
  • 1,55,88,000 DALYs  (Disability adjusted life lost years)(WHO, 2009).
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The epic Mahabharata can also be understood as a science of inner Mahabharata happening in everybody’s mind.

Lord Krishna here symbolizes with consciousness and the five Pandavas with five positive qualities of a person and they are – righteousness (Yudhishthir), being in focus (Arjuna), power to fight injustice (Bheem), helping others (Sahdev) and learning to be neutral in difficult situations (Nakul). Panchali indicates 5 senses which can only be controlled when these five forces are together.

Dhratrashtra symbolizes with ignorance, Duhshasan with negative ruling quality ( dusht while ruling) and Duryodhana (dusht in yudh) with one who is not balanced in war.

To kill the negativity in the mind, one has to take conscious based decisions. Every action, if directed towards the consciousness or the soul, is the right action. To kill the 100 Kauravas (the 100 negative tendencies a person can have) controlled by Duryodhan and Duhshasan along with Shakuni (the negative power of cunningness), one has to redirect one’s positive qualities towards the consciousness and take right decisions.

The five Pandavas (positive qualities) made soul (Lord Krishna) as their point of reference (Sarthi) and won over the evils (Kauravas).

Bhishma Pitamah, Karana and Draunacharya, all had winning powers individually but they all gave support to the negative thoughts and made Duryodhana as their point of reference and ultimately had to die.

The message is very clear – if one directs his or her positive powers towards ego as the reference point in long run, they will be of no use and, in fact, will be responsible for one’s destruction.

In Ramayana, Ravana was a great scholar but he directed all his energies and powers towards his ego and ended up in misery.

One should cultivate, therefore, positive mental attitude, positive thoughts instead of directing them towards desire, attachment or ego and should direct them to soul/consciousness for a positive outcome.

About the author: Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA [ blog.kkaggarwal.com]

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