Sub Logo

Dr K K Aggarwal

Poor hygiene habits may lead to typhoid

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

Typhoid fever is caused by a bacterium called Salmonella typhi, which is transmitted via ingestion of food or drink that has been contaminated by the feces or urine of infected people. Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions.

Though the cases occur round the year, more cases are seen during the summer and rainy seasons.

Symptoms usually develop 1–3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness.

It can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food.

Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

Few salient facts about Typhoid fever

• Typhoid does not affect animals and therefore transmission is only from human to human.

• Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.

• Careful food preparation and washing of hands are crucial to preventing typhoid.

• Typhoid fever in most cases is not fatal.

• Prompt treatment of the disease with antibiotics reduces the case–fatality rate to approximately 1%.

• When untreated, typhoid fever persists for 3 weeks to a month.

• Resistance to common antibiotics is now common.

• Typhoid that is resistant to common antibiotics is known as multidrug–resistant (MDR)-typhoid.

• Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.

Blogger PostEmailFacebookGoogle GmailShare

Satya Sai Baba was known to give Bhabhuti as prasad to his visitors. In mythology also, Rishi Munis gave Bhabhuti to their followers.

Lord Shiva is known to have Bhabhuti on his skin. Many people believe that Ash or Bhabhuti reminds one that the human body is perishable and will be converted into Ash ultimately after the death of the physical body.

But there is also another meaning behind this mythological ritual of applying Ash onto the body.

Fire in mythology means the fire of knowledge, knowledge about the true self consciousness. Knowing about true self is obstructed by negative thoughts, animal tendency, egoistic vanities and foolish attachments.

Kama Krodha Lobha Moha and Ahankara fall into the same category. Burning negative tendency, animal behavior, ego and attachment into the fire of knowledge is what spirituality is. Once you burn your negative tendencies in the fire of knowledge, the resultant Ash or Bhabhuti which is to be ingested as the Prasad is what Rishi Munis gave to their seekers.

Rishis are different from Pandits as Pandits are the ones who have knowledge but may not have spiritual experiences.

Rishi Munis have both the knowledge and the personal experiences. The Rishi Munis are the ones who have learnt to burn their negative tendencies and ego into an Ash and help their followers in turn to burn their negative tendencies.

The Ash given to their seekers is a constant reminder that the seekers need to burn their negative tendencies and convert them into the same ash.

Blogger PostEmailFacebookGoogle GmailShare

• Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36°C to 38.30°C. Heart rate is often more than 90 per minute.

• Symptomatic inflammatory response syndrome (SIRSI means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.

• Many antibiotics can cause fever; unless they are discontinued, fever will not subside.

• Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti-psychotic drugs.

• Hyperthermia may not respond to anti–fever drugs.

• When fever is more than 41.5°C, it is acute hyperpyrexia.

• Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.

• High temperature without infection is found in case of a hyperfunctioning thyroid gland.

• Recreational drugs such as Ecstasy can also cause fever without any infection.

• Mild fever can also occur after exertion.

Blogger PostEmailFacebookGoogle GmailShare

This is a Vedic reminder to oneself that one should eat only those foods that are offered to God. Each time you offer food to God, it is a reminder to you to change your decision and choices. For example, alcohol, tobacco, onion, garlic, radish, etc. are not offered to God. If they are part of your food, there are chances that you will not consume these food items, if you observe this ritual.
Cheating is permitted one day of 21 meals in a week. Over a period of time people have stopped following this ritual and now eat some foods, which cannot be offered to God in all their 21 meals. This is the reason why the incidence of lifestyle diseases is increasing in the community.

Blogger PostEmailFacebookGoogle GmailShare

How to recognize cardiac arrest

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

• Rapid recognition of cardiac arrest is the essential first step of successful CPR 10.

• As per guidelines, the lay rescuer who witnesses a person collapse or comes across an apparently unresponsive person should confirm unresponsiveness by tapping the person on the shoulder and shouting: “are you all right?”

• If the person does not respond, the rescuer should call for help or ambulance and initiate excellent chest compressions.

• Lay rescuers should not attempt to assess the victim’s pulse and, unless the patient has what appear to be normal respirations, should assume the patient is apneic or without respiration.

• Remember even well–trained professionals can have difficulty determining if breathing is adequate or pulses are present in unresponsive adults.

• After assessing responsiveness, health care providers should quickly check the patient’s pulse.

• While doing so, it is reasonable to visually assess the patient’s respirations.

• It is appropriate to assume the patient is in cardiac arrest if there is no breathing or abnormal breathing (gasping) or if a pulse cannot be readily palpated within 10 seconds.

• The key point is not to delay CPR.

Blogger PostEmailFacebookGoogle GmailShare

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

To err is human and every doctor is likely to make mistakes. The very fact that a doctor is getting himself insured under Indemnity insurance means that medical errors are recognized as a part and parcel of Government policies.

For any error, the Court has decided a financial compensation to the patient and that compensation is paid by the insurance company as the doctor is covered under the Indemnity insurance. Medical negligence on the other hand, if proved, is not covered under the insurance. Therefore, medical negligence has to be differentiated from medical errors.

The error of judgment and difference of opinion are accepted in the law as not negligence and there are ample Supreme Court judgments to support that. Medical accidents are also exempted from being termed negligence by various Supreme Court clarifications/judgments. For a doctor to be punished under medical negligence, there has to be a proof that he willfully did some omission or commission, which led to the death or caused harm to a person.

A doctor is also not required to possess the maximum degree of skill and knowledge but is required to possess only an average degree of skill and knowledge. Therefore, when an expert is called for an opinion, he should never give an opinion from his level of perception and knowledge but should take into consideration the knowledge of an average doctor of that specialty.

Recently, a friend forwarded a report to me, which showed that in US when the doctors went on a strike, the number of deaths in the city during the strike period reduced. I totally agree with this observation and I am of the firm opinion that if allopathic medical profession ceases to exit, the number of deaths per day will be reduced. But at what cost? It will invariably be at the cost of increased morbidity, impaired quality of life and more sufferings. In that scenario people with sexual dysfunction will live without enjoying sexual life; people with heart failure will live on the bed all the time, patients with TB will be back in sanatoriums, patients with fractures will be bedridden for months together and patients requiring orthopedic surgeries will remain with life–long deformities. To have a better quality of life, one has to pay the price as any intervention or surgery done to improve the quality of life invariably will carry some risk and mortality. Even a simple bypass surgery of the heart carries a mortality of up to 0.5–1%. But for the family whose patient dies that 1% mortality is 100%.

In a follow up program on Aaj Tak, the film actor, Aamir Khan had said that every household in India has a negative story to tell about medical doctors. Aamir probably misunderstood or could not differentiate medical errors, medical accidents from medical negligence. People equate money with medical success. Most of the medical disputes occur in private sector when the patient’s relatives have to pay money for an unsuccessful surgery or treatment. Attempts have been made to compare the results of medical treatment in India from that of abroad. They are totally incomparable as the amount of fee charged by doctors in India is practically a fraction of the fee that is charged in the west. The patient load in India per doctor is also responsible for potential medical errors.

One should also remember that the Drug Controller Government of India (DCGI) does not inform doctors about banned drugs, introduction of new drugs or introduction of new equipment. Most doctors depend on technology to be learnt through the manufacturers of respective machines. The manufacturers either bring the training persons from abroad or support the training of Indian doctors abroad. Their interest is ultimately covered as the doctors once trained ultimately end up in purchasing their technology.

When a new drug is launched, as there is no information from DCGI to individual doctors, they are forced to attend symposia by drug companies, which now come under the purview of an unethical doctor–pharma relationship.

Most doctors will write pharmaceutical drugs of a company, which people think is in lieu of a commission they are getting. The reality is that a doctor will invariably write a drug of a company who is constantly spending in efforts in educating doctors about new technologies and innovations as both Medical Council of India and the Government of India Health Ministry have no such provisions for the doctors. On the other hand, not attending medical educational programs is considered a professional misconduct.

Blogger PostEmailFacebookGoogle GmailShare

Walking Tips

By Dr K K Aggarwal
Filed Under Wellness  | | Comments Off

• It requires no special clothes or equipment, and it’s free.

• Make walking fun by going to places you enjoy, like a shopping center or park.

• Bring along someone to chat with, or listen to some of your favorite music (but keep the volume low enough to hear the sounds around you). • Think about safety as you plan when and where to walk.

• Walk with others when possible, and take a phone and ID with you.

• Let someone know your walking time and route.

• If it’s dark outside, wear a reflective vest or brightly colored clothing.

• And always be aware of your surroundings.

Blogger PostEmailFacebookGoogle GmailShare

Diet is linked to the diabetes epidemic

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

A study published in the journal Diabetes Care, highlights the importance of the whole diet rather than focusing on certain foods or food groups that might be beneficial.

A diet rich in whole grains, fruits and vegetables (leafy green), nuts and low–fat dairy may help people lower their risk of type 2 diabetes by 15% over 5 years than those who ate the lowest amounts of these foods.

In contrast, adults whose diets were high in red meat, high–fat dairy, refined grains like white bread plus beans and tomatoes, saw their diabetes risk go up by 18% as a group.

Type 2 diabetes is closely linked to obesity and it is well–known that maintaining a healthy weight through diet and exercise reduces the risk of developing the disease. Diet affects diabetes risk independent of a person’s weight.

Blogger PostEmailFacebookGoogle GmailShare