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Dr K K Aggarwal

Can blood pressure be higher in one arm?

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off

A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have your doctor check both arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.

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This was the best statement I have ever come across in my life. One of the medical superintendents at Moolchand Hospital when he joined had this statement on the wall behind his desk. It clearly indicated that he was there to solve the problem and not to create problems.

If all the service provider agencies follow this statement, the scenario of the country can change. Our job should be to solve problems and not find mistakes. None of us is 100% truthful, honest or hardworking. Each one of us has some positive points and some negative points. Our job should be to remove our negative points and convert them into positive.

Remember the SWOT analysis taught in marketing i.e. “Strength, Weakness, Opportunity and Threat”. Our job should be to convert our weakness into strength and threat into opportunities.

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Impact of exercise on the Knee

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off

Different exercises produce different impacts on the knee joints. The best and safest exercises causing minimum impact on the knee for patients’ post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports, one can play doubles tennis and not singles. One can also participate in downhill or cross-country skiing. The maximum stress-producing exercises are jogging and golf swings.

Impact

  • Biking generates the least force, producing impact of about 1.3 times the person’s body weight.
  • Treadmill walking was next best, producing forces of 2.05 times the body weight.
  • Walking on level ground generated forces of 2.6 times the body weight.
  • A game of tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.
  • Jogging produced forces of 4.3 times body weight.
  • Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.
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Smile is a sign of joy while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None is at the level of mind or intellect. All come from within the heart.

They are only the gradations of your expressions of your happiness. It is said you are incomplete in your dress if you are not wearing smile on your face.

Hug comes next and laughter the last. Laughter is like an internal jogging and has benefits like that of doing meditation.

But be careful we must know when not to laugh. The most difficult is to laugh at our own self.

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Fast for 12 hours if going for a cholesterol test

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off

  • Getting a cholesterol test is easy.
  • Food and drinks affect cholesterol profile. Fast for 12 hours to get accurate readings of LDL (“bad” cholesterol), HDL (“good” cholesterol), and triglyceride levels.
  • Avoid drinking alcohol for at least 24 hours before the test.
  • Tell your doctor
  • Flu or another illness shortly before the blood test can have a dramatic effect on your cholesterol levels.
  • A change in diet in the last one week can make a difference. High levels of alcohol or carbohydrates can raise triglycerides.
  • Did you forget to fast or sneak something to eat or drink before the test? It can affect the cholesterol levels.
  • An underactive or overactive thyroid can affect cholesterol levels.
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If you hate somebody, it only means that you have lot of meaningless time to spare. If you are busy and live in the present, you cannot think of the past or the future.

There is a well known saying in Vedanta that you cannot hate strangers, you only can hate somebody whom you loved and withdrawal of love is what hatred is.

Love and hate, therefore, are the two sides of the same coin. You cannot have both. You need to make an effort to hate somebody but love is always spontaneous. It is not true that if you love somebody, it means that you have a lot of time to spare. Love comes from the heart and not from the mind or the intellect.

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The systolic (top number) and diastolic (bottom number) blood pressures rise and fall with the change of seasons.

In a study of 8801 people aged 65 or older by the Institute National de la Sante et de la Recherche Medicale of Paris published in the journal Archives of Internal Medicine, the average systolic blood pressure was five points higher during the winter than in summer.

Instances of high blood pressure (systolic blood pressure higher than 159, or diastolic higher than 94 mmHg) in the study were found in 33.4 percent of participants during winter but just 23.8 percent during summer.

The reason could be related to the baroreflex, a mechanism of blood pressure regulation that is modified in elderly subjects or a function of the sympathetic nervous system, which helps control involuntary actions such as stress response. A 5 mm change in blood pressure can explain why more heart patients die in winter.

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You should be not only positive, different but also persistent. In ten incarnations of Lord Vishnu, the first was a fish, which denotes to be different in life. The second incarnation is the tortoise, which symbolizes that you should not only be different, but also learn to withdraw when the need arises. The third is a boar, which indicates persistence.

The mantra of a successful life is to be positively different and persistent and yet learn to withdraw when the situation arises.

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