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Dr K K Aggarwal

In a survey conducted by Heart Care Foundation of India of 400 people from all walks of life, 90% of the people wanted that wishes of the dying person and dead body should be respected in the hospital setting. They said that doctors should be more compassionate and emphatic at the time of declaring a patient dead.

Unless people are expecting a death, death usually comes as a shock to the family members. It is expected that the relations may be in agony, pain and even anger. Every hospital should have a mourning room where the relatives should be made to sit, counselled and death declared.

After the death is declared, the treating doctors, nurses and hospital staff must sit with the patient’s relatives, counsel them, tell them about the sequence of events before death and also counsel them about how to handle the dead body. People also want to know the cause of death so that similar thing may not happen to another person in the family.

They also want to know if the body is infectious or not and what rituals to be avoided if the body is infectious. They also like to know about how to preserve the dead body till cremation.

They may also like to know whether a postmortem is required to know exact cause of death, which can help future family members of the family.

(Disclaimer: The views expressed in this write up are my own).

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Some tips from HCFI

By Dr K K Aggarwal
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  1. Exercises and stretches can help maintain strength and stop joints becoming stiff in children with spinal muscular atrophy. Although the amount of exercise will depend on the condition, its best to try and stay as active as possible.
  2. There are activities/exercises that can be done to strengthen the breathing muscles and make coughing easier.
  3. It is important for people with spinal muscular atrophy, especially children, to get the right nutrients. This will help with healthy growth and development. A dietitian can offer advice about feeding and diet.
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Science behind regrets

By Dr K K Aggarwal
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In a US–based study, dying people were asked about their regrets, if any. The top five regrets were:

  1. I wish I had the courage to live a life I wanted to live and not what others expected me to live.
  2. I wish I had worked harder.
  3. I wish I had the courage to express my feelings.
  4. I wish I had stayed in touch with my friends.
  5. I wish I had let myself to be happier.

Regrets are always based on suppression of emotions or non–fulfillment of desires and needs. These need-based desires can be at the level of physical body, mind, intellect, ego or the soul. Therefore, regrets can be at any of these levels.

I did a survey of 15 of my patients and asked them a simple question that if they come to know that they are going to die in next 24 hours, what would be their biggest regret.

Only one of them, a doctor said that she would have no regrets.

Only one person expressed a physical regret and that was from a Yoga expert who said that her regret was not getting married till that day.

Mental regrets were two.

  1. A state trading businessman said, “I wish I could have taken care of my parents.”
  2. A homeopathic doctor said, “I wish I could have given more time to my family.”

Intellectual regrets were three.

  1. A lawyer said, “I wish I could have become something in life.”
  2. A businessman said, “I wish I could have helped more people.”
  3. A retired revenue inspector said, “I wish I had married off my younger child.”

Egoistic regrets were two.

  1. One fashion designer said, “I wish I could have become a singer.”
  2. A housewife said, “I wish I could have become a dietician.”

Spiritual regrets were six.

  1. A Consultant Government Liaison officer said, “I wish I could have made my family members happy.”
  2. A businessman said, “I wish I could have meditated more.”
  3. A Homeopathic doctor said, “I wish I could have spent more time with my family.”
  4. A reception executive said, “I wish I could have spent more time with my parents.”
  5. An entertainment CEO said, “I wish I could have taken my parents for a pilgrimage.”
  6. A fashion designer said, “I wish I could have worked more for the animals.”

In a very popular and successful movie, Kal Ho Na Ho, the hero was to die in the next 40 days. When asked to remember the days of his life, he could not remember 20 ecstatic instances in life.

This is what happens with each one of us where we waste all our days and cannot remember more than 50 or even 20 of such instances. If we are given 40 days to live and if we live every day ecstatically, we can get inner happiness. Therefore, we should learn to live in the present instead of having a habit of postponing everything we do.

We should learn to prioritize our work and do difficult work first or else we would be in a state of constant worry till that work is over.

I teach my patients that they should practice confession exercise and one confession is to talk about your regrets and take them as challenge and finish before the next Tuesday. When working, there are three things which are to be remembered – passion, profession and fashion. Profession is at the level of mind, ego and spirit.

We should convert our profession in such a manner that it is fashionable and passionate. Passion means working from the heart and profession means working from mind and intellect and fashion means working the same at the level of ego which is based on show–off.(Disclaimer: The views expressed in this write up are my own).

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Some health tips from HCFI

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

  1. Be aware of the products you use in your home and on your skin. For example, cleaning products with harsh chemicals.
  2. Eat healthy and include lots of fresh fruits and vegetables in your diet. They contain fibre and substances that can help in flushing toxins out of your system.
  3. Take steps to combat stress as this lowers your immune system function. Exercise, sleep well, and meditate. You can also opt for yoga to get rid of stress.
  4. Sleep well as it reduces cortisol produced by the body during stress. It also balances leptin, which determines how much food we eat. If our leptin is off balance, most likely the body will feel that it never gets enough food, which leads to overeating.
  5. Reduce or quit smoking and drinking.
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A good teacher is the one who follows the principles of listening first, teaching in detail till confusion arises and then teaching with reasoning while going into the minutest details and finally summarizing the ‘take-home’ messages.

This is what Lord Krishna taught to Arjuna in Bhagavad Gita. In the first chapter, he only listens, in the second, he gives detailed counseling, from 2 to 17 chapter, he gives reasoning and in 18th chapter, he revises.

(Disclaimer: The views expressed in this write up are my own).

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Some tips on thyroid disorders from HCFI

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

  1. Hypothyroidism is linked to weight gain. Thus, a person with this condition can find it difficult to lose weight. Consume a diet rich in fibre and low in fat to maintain a healthy weight.
  2. Although it may be difficult to get moving in those with a sluggish thyroid, it is a good idea to push yourself to do some physical activity.
  3. Stress is known to exacerbate thyroid disorders. Do something to reduce those stress levels. It could be yoga, meditation, dance, or anything.
  4. Know the symptoms. Understand what the common symptoms of thyroid cancer are.
  5. Get Tested. Have your GP check for nodules and test TSH levels every few years if you have risk factors for cancer.
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  • Eat only when you are hungry.

  • Do not eat for pleasure, social obligations or emotional satisfaction.

  • Eat at a slow pace

  • Eat less; dinner less than lunch.

  • Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.

  • Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.

  • Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to your conversation. It will accordingly send signals to the mind and heart.

  • Plan and decide in advance what and how much food you will be eating.

  • Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.

  • Do not take red meat and if you are a non–vegetarian, you may take poultry meat or fish.

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Darkness cannot be removed physically; it can only be removed by switching light or going into sunlight or lighting fire. Similarly negative thoughts are absence of positive thoughts.

In Bhagavad Gita also it has been said that in the period of Uttarayana with longer days, the first half at full moon, in the presence of light or agni, one acquires more positive thoughts as compared in Dakshinayana before Amavasya or no moon or in absence of light.

Bhagavad Gita also says that whatever you think the whole life, you think at the time of death and if the time at the time of death you have positive thoughts, you are likely to get Moksha. That may be the reason why in Hindu mythology it is said that just before the death, we should light a diya or chant in front of agni (fire) so that dying person’s thoughts become positive.

In terms of computer language, it can be explained as – when you open a file repeatedly, it becomes a priority file and comes in search engine on priority as compared to other files.

(Disclaimer: The views expressed in this write up are my own)

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