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Dr K K Aggarwal

Quitting at any time reduces one’s fear of getting or dying of heart disease and lung cancer. It also reduces chances of getting osteoporosis. Quitting smoking can also help the smoker look younger and improves appearance in both men and women.

The five steps involved can be remembered with the word START where ‘S’ means setting a quitting date, ‘T’ means telling family members, friends and people around you that you plan to quit, ‘A’ means anticipating the tough time one may face while quitting smoking nicotine withdrawal and weight gain, ‘R’ stands for removing all forms of tobacco products from within our reach which includes home, car and workplace and ‘T’ stands for taking help from your doctor in terms of behavior, counseling and drugs.

Counseling helps in identifying tricks of smoking cessation and provides you alternatives. It also helps overcome craving and helps you understand what went wrong when you wanted to quit smoking.

These steps are well mentioned in Indian Mythology.

Cigarette is a lust which in Ramayana is symbolized with Kekai initially and later on withBali. When lust is controlled, the ten senses (Dashrath) has to die and Rama, Sita and Lakshman (Soul, Body and Mind) have to lose control.

Later in Ramayana, lust is symbolized with Baliwho can only be killed by Rama (consciousness) and not Lakshman (mind). Intellect (Sugriva) cannot  kill lust (Bali). Lust (Bali) can only be killed from behind and not from front which is based on the principle of Pratyarhara in Yoga Sutra of Patanjali under 8 limbs of Yoga (5th limb) which is creating a spiritual atmosphere free of lust for a spiritual living. Removing tobacco products from the environment we live in is based on the above principle mentioned in Ramayana and in Patanajli Yoga.

Type D Personality Associated With Higher Future Heart Risk

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Heart patients considered “chronically distressed” (Type D personality) are at a higher risk of recurrent cardiac events.

Type D personality is associated with higher risk of future psychological problems such as depression or anxiety in heart patients.
Heart patients with the distressed (Type D) personality profile may face a higher risk of future cardiovascular problems, according to a summary article published in the American Heart Association journal Circulation: Cardiovascular Quality and Outcomes. An analysis of previous reports involving more than 6,000 patients found an association between the Type D personality and future cardiovascular issues among heart patients.

Type D is a personality marked by chronic negative emotions, pessimism and social inhibition. There is a 3–fold increase for Type D heart patients in risk of future cardiovascular issues such as peripheral artery disease, angioplasty or bypass procedures, heart failure, heart transplantation, heart attack or death. A Type D profile was also linked to a 3–fold increase in long–term risk of psychological conditions including clinical depression, anxiety or poor mental health. Type D patients appear to respond differently to cardiovascular stress. Type D is associated with differences in cortisol, a stress hormone that can temporarily increase blood pressure. It also may be related to elevated levels of inflammation. In addition, heart patients with Type D personality may be less likely to get regular medical checkups or communicate effectively with their physicians.

Low self esteem is opposite of ego. Supportive psychotherapy is often used to treat depression by improving self esteem.

Low self-esteem always occurs when one compares one’s skill or knowledge with somebody else. We often forget that for passing marks, we only need 50%. One who passes with 50% is a good student.

But the same person when compares himself or herself with a student who has got 90%, he or she feels that his education was inferior as he is not as competent as others.

One should remember that one is required to possess average degree of knowledge and skill and not the maximum degree of skill and knowledge. In the society, one needs to possess only average degree of skill and knowledge.

For example, if a person has passed MBBS with 50% marks, he or she is allowed to practice medicine with full powers and respect. There may be chances when a person who is 90 percentile may be able to take some better decisions but the same does not make him a superior doctor.

The fundamental principle in self-esteem is to make a person proud of his personal knowledge and skills and also to bring out his or her uniqueness.

Passion and profession are two different things. We should judge an individual from is passion and not profession.

Its wrong to say eat less fat; the real message should be eat more fresh fruits and vegetables.

White advocating low–fat diets it is easier for patients to understand advice given in terms of foods e.g, “eat more fresh fruit” rather than nutrients e.g, “reduce your intake of fat to less than 30 percent of your total energy intake”.

The message to reduce fat has been translated by food manufacturers and consumers into a potentially harmful set of food choices.

Instead of replacing high–fat foods with naturally low–fat foods with other benefits, such as fruits, vegetables, legumes, and whole grain foods, consumers have often increased their consumption of low–fat or “fat–free” varieties of naturally high–fat foods, such as fat–free snack or junk foods.

The result is an increase in refined carbohydrates which lower good HDL–cholesterol concentrations with a possible increase in the incidence of type 2 diabetes and obesity, and failure to gain the benefits of more.

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was a era when Brahmins ruled using the power of knowledge, then came an era of Kshatriya who ruled using the physical power. This was followed by an era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

In one of his lectures, Deepak Jain from Kellogg’s said that the world has seen eras of physical power, economical power and the time has come that it will now be ruled by the power of human resources.

Former Governor of Mizoram A R Kohli, in one of his talks, said that there are four types of powers which govern the universe and these are – physical power, economical power, the power of the chair (ego) and the power of the human resource which is based on consciousness.

Everyone has these four inherent powers. The physical power is based on fear, tamas and rajas. The economical and the power of chair are linked to one’s ego and rajas. It is the power  of human resource which is linked to the soul, consciousness and Satva.

The physical power is at the level of body, economic power is at the level of mind, the power of chair is at the level of intellect and ego and the power of human resources is  at the level of soul. It is the power of human resource which is based on Dharma and is universally accepted by all religions.

As per Mahabharata, the powers are the power of human resource (righteousness or Yudhisthir), power to remained focused (Arjun), power to fight injustice (Bheem), power to help others (Sahdev) and power to remain neutral during any adversity (Nakul).

In Vedic sciences, these powers are also defined as Ichhashakti (the power of desires to be with the consciousness), Kriyashakti (the power to do selfless work), gyanshakti (the power to learn about consciousness), chit shakti (the power to take conscious based decisions) and anand shakti (the power for inner happiness).

The power of human resources talks about cultivating relationships. It is not based on the principles of survival of the fittest which is an animal behavior. The power of human resource believes in training and developing everyone to survive and become the fittest of the fit.

Ideal Sleep Time: Eight Hours

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People who sleep less than 7 hours or more than 9 hours a night, gain more weight over a period of time and become obese as compared to individuals who log 8 hours every night.

People who want to lose weight or prevent weight gain should not only exercise and eat well, but also sleep.

In a study by Dr. Angelo Tremblay, of LavalUniversityin Quebec City, published in the Journal Sleep, the researchers followed 276 men and women for 6 years. During that time, people who averaged 5 to 6 hours of shut eye a night gained 1.98 kgs more than those who slept 7 to 8 hours, while those who slept for 9 to 10 hours gained 1.58 kgs more than the average-length sleepers.

Short and long sleepers also showed greater gains in fat mass and waist circumference than average-length sleepers, and were significantly more likely to gain 5 kgs or more.

Getting too much or too little sleep somehow disrupts appetite control by causing a reduction in leptin, a hormone that dampens appetite, while increasing secretions of the appetite-stimulating hormone ghrelin.

Short and long sleepers were also more prone to hypoglycemia, or low blood sugar, than average sleepers, which could increase appetite as well.

The Science behind Training and Development

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Training in any field requires gaining knowledge, skills and positive mental attitude towards the object of learning.

The knowledge is everything about what and why. In Yoga, it correlates with the Gyan (Gnana) Marg. The skill is all about how to do it and correlates with Karma Marg.

The positive mental attitude is linked to willingness to do any work or in other words one’s Astha in that action. In Yoga, it is synonymous with Bhakti Marg.

In Bhagwad Geeta, Lord Krishna talks about all the principles of management including how to train and develop an individual.

The development teaches and increases one’s intelligence quotient (IQ), physical quotient (PQ), emotional quotient (EQ) and moral quotient (MQ).

Which Vaccines Should Be Provided To Healthcare Workers?

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These guidelines are consistent with the one published by the CDC, the Association for Professionals in Infection and Epidemiology, Inc (APIC), the ACIP, and infectious diseases experts.

The general approach is as follows:

  • All healthcare workers should be immune to measles, mumps, rubella, and varicella.
  • All healthcare workers with potential exposure to blood or body fluids should be immune to hepatitis B.
  • All healthcare workers should be offered annual immunization with influenza vaccine.
  • All healthcare workers should either be offered immunizations that are routinely recommended for adults, such as tetanus, diphtheria, and pneumococcal vaccine, or be referred to their primary care provider.
  • At risk healthcare workers and laboratory personnel should be offered the following vaccines: polio, meningococcal, BCG, rabies, plague, typhoid, and hepatitis A.

 

Merits And Demerits Of Focused Living

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In mythology, in the epic Mahabharata Yudhishthir symbolizes a person who has learnt the art of being in balance in loss and gain and the one who practices righteous living.

Arjuna symbolizes with the quality to focus and the quality to see only the eyes of a fish when focusing on the fish.

Bheema symbolizes with the power to fight the evil. Sahdev symbolizes with the quality of helping others and Nakul symbolizes with how to remain neutral in any circumstances.

The weakness of Yudhishthir was lust (gambling), of Arjuna was getting defocused due to any doubt and of Bheem (Bal) was getting instigated on tiny things.

A person who is too focused can easily get diverted by any doubt. This is what happened to Arjuna when the Kurukshetra war started. He was focused completely before and after the Bhagavad Geeta episode.

Bhagavad Geeta was a dialogue between Arjuna and Lord Krishna delivered when Arjuna was overpowered by doubts in his mind whether he should fight or not? Was he justified in fighting with his own people?

Once the doubts were removed by Lord Krishna using the principles of cognitive behavior therapy (as called today) he was a focused man again.

In Hindu mythology, Lord Krishna represents consciousness, therefore in any doubt one should redirect them to the heart/consciousness to take the right decision.

Government policy should change from replacement donor to 100% voluntary donor. Under replacement blood donor system a patient requiring multiple transfusions or patients who are from out station may find it difficult to get replacement donors.

No blood donation is 100% safe. Diseases can still be in the window period and get transmitted even if the blood tests are negative. Sophisticated blood tests detecting antigens of the organisms are not done in the country, either the tests are costly or not available in blood banks. They are also not mandatory under the national policy. Donating blood reduces the chances of heart attack. People who regularly donate blood are healthier than people to have never donated blood. One should every year donate blood either on their birthday or on the Blood Donor’s Day.

Blood is the precious gift which one can give to somebody unknown. It is possible that one unit of donated blood can save multiple lives.

More than 70,000 units of blood are required in Delhi every month. More camps should be organized by non medical associations so that the shortage of blood can be taken care of.

Chaar Dham Yatra

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Chaar Dham ‘Yatra’ is observed every year in the month of April/May and is open to visitors for next six months. It usually starts from Akshay Tritya date till the day of Diwali. Chaar Dham ‘Yatra’ involves covering Yamnotri, Gangotri, Kedar Nath and Badrinath.

People can have ‘Yatra’ in the form of “Two Dham Yatra” or “Chaar Dham Yatra”. In two dham Yatra, one can either choose Yamnotri and Gangotri or Kedarnath and Badrinath.  In four dhaam Yatra, one can visit all the four dhaams in the above sequence.

It is 8-12 days tour for spiritual purification.  Normally, it is said that at least once in a life time one should go for this Chaar Dham Yatra.

There is a spiritual significance attached to the yatra. Whenever a person is disturbed, stressful, with impacted guilt, this ‘Yatra’ provides an environment to detoxify the mind and intellect.

Being away from stressful atmosphere and starting a journey in a different environment with focus on God or inner happiness provides an opportunity to get rid of any stressor. It normally takes one to two weeks for the mind to settle when it is away from the stressor.

A journey over 8-12 days also helps in acclimatization of the travel to the mountains. Rapid accent can lead to acute mountain illness with or without swelling of the lungs and that of the brain.

For any travel of more than 5000 feet, one should not accent rapidly. The formula is between 5000 to 1000 feet accent, there should be minimum one night halt. After 10000 feet accent, for every 1500 feet accent, there should be night halt and after 3000 feet accent, there should be a full day halt.

In both Yamnotri and Gangotri, one detoxifies the emotions by way of dip in the holy river (Yamuna or Ganga). Before the dip, one is supposed to narrate his problem to oneself and ask the God or inner consciousness to forgive him or her. This confession to self and/or to the God helps in detoxification of the mind.

Once the mind and emotions get detoxified, travelling further to Kedarnath and Badrinath remembering the principles of Shiva and Vishnu helps one in attaining positive state of mind.

Yamnotri and Gangotri dip are therefore spiritual processes to remove negativity and clean the mind; and both Kedarnath and Badrinath to go back with a positive state of mind and full of energy. Shiva teaches the process of how to wind up a process and Vishnu teaches how to manage any work.

When we learn the principles and steps of creativity, we learn the steps of intended outcome, information gathering, information reshuffling/ analysis, incubation, insight, inspiration, integration, and implementation and Incarnation.

The phases of intended outcome, information gathering, information reshuffling can be stressful to the mind and to remove that stress, one need to divert away from the project (incubation) for few days and this diversion makes the mind creative with a new insight. This ‘incubation’ principle of creativity is used in “Chaar Dham Yatra”. The period of 8-12 days off from the routine stress gives one an incubation period with resultant time to give one new insight and inspiration for positive actions. This same effect may not come when one is going for a hill station for holidays one may carry stress with them.

Treatment of an addiction is to get addicted to a non-addictive thing. The only way the stress can be removed is to get addicted to path of inner happiness or thinking of God. This is the main aim of “Chaar  Dham Yatra” where one climbs mountains a clean and relaxed environment.

Many people who don’t go to northern Chaar Dham in Uttarakhand may prefer to go for another Chaar Dhaam at a national level in sequential order  –  Badrinath, Dwarka, Jagannath Puri and Rameshwaram.

Elderly Beware of Commonly Prescribed Group of Drugs

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Anti-cholinergics, a commonly prescribed group of drugs, may cause elderly people to “slow down” in their daily physical activities.

Two reports from Wake Forest University School of Medicine support findings that anti-cholinergic drugs – Used to treat acid reflux, Parkinson’s disease and urinary incontinence — may cause older people to lose their thinking skills more quickly than those who do not take the medicines.

Anti-cholinergic drugs work by stopping acetylcholine, a chemical that enhances communication between nerve cells in the brain, from binding to its receptors in nerve cells.
Older adults taking anti-cholinergics become more likely to walk more slowly and to need help in other daily activities. These results are true even in older adults who have normal memory and thinking abilities.

For older adults taking a moderately anticholinergic medication, or two or more mildly anticholinergic medications, their function is similar to that of someone three to four years older.

Common anticholinergic medicines include blood pressure medication, nifedipine; the stomach antacid, ranitidine, and the incontinence medication, tolterodine.

Cholinesterase inhibitors, a family of drugs used to treat dementia by increasing levels of acetylcholine include donepezil, galantamine, rivastigmine and tacrine. About 10 percent of patients may be taking tolterodine and dozepezil together. The two drugs are pharmacological opposites, which led to the hypothesis that the simultaneous treatment of dementia and incontinence could lead to reduced effectiveness of one or both drug

1. For every action, there is an equal and opposite reaction.

2. Knowledge proceeds from the known to the unknown. This is the basic law of learning.

3. Yesterday’s miracles are today’s science and today’s miracles will be tomorrow’s science.

4. Reality: Objects continue to exist whether or not we think about them.

5. You sow an action and reap a habit. You sow a habit and reap a character. You sow a character and reap your culture. You sow your culture and reap your destiny.

6. As the experiences, so is the life.

7. You are what you are because of the in-dwelling personality determined by the nature of your mind and the intellect.

8. Change or perish is the law of nature.

9. The world is cruel only to be kind.

10. Ignorance manifests in three different stages. Lack of information, lack of understanding and lack of experience

11 . The law of life proclaims that none can remain, even for a moment, without performing activity. Even the maintenance of your body will be impaired by inaction.

12 . Desires are like bacteria.

13 . Fear and love are the only two true emotions of nature

14 . Love is the law.15 . Everybody is born with a unique talent. Search for it and respect it.

16. The Universe is the macrocosm, man is the microcosm” (Return of the Rishi, p. 113 ).

 There’s an ancient saying in the ayurveda:

“As is the atom, so is the Universe. As is the microcosm, so is the macrocosm.As is the human body, so is the cosmic body. As is the human mind, so is the cosmic mind.”

Diet and Aging: Gaining A Nutritional Edge

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Choose fruits and vegetables wisely

  • Get at least five servings of fruits and vegetables a day.
  • When filling your plate with fruits and vegetables, choose from a full color palette.
  • For even more health benefits, aim for nine servings a day. To get there, choose vegetable soups and vegetable or fruit salads. Sprinkle fruit on breakfast cereal, and select it for snacks or as a sweet end note after meals.

Choose fats wisely

  • Whenever possible, use monounsaturated and polyunsaturated oils. Avoid trans fats entirely. Limit saturated fats to less than 7% of daily calories and total fat to 20% to 30% of daily calories.
  • If you don’t have coronary artery disease, the American Heart Association recommends eating foods rich in omega–3 fatty acids, such as salmon, trout, or mackerel, twice weekly. If you have documented coronary artery disease, consume roughly 1 gram a day of EPA or DHA from oily fish and supplements if your doctor advises this.

Choose carbohydrates wisely

  • Choose whole–grain foods over those made with refined grains, such as white bread. Look beyond popular choices like whole oats and brown rice to lesser–known whole grains like barley, bulgur, kasha, and quinoa. Limit your intake of white potatoes.

Choosing protein wisely

  • Emphasize plant sources of protein, such as beans, nuts, and grains, to help you bypass unhealthy fats predominant in animal sources. Enjoying a wide variety of vegetables and eating beans and grains helps you get a full complement of amino acids over the course of a week. Shy away from protein sources high in saturated fat. Favor fish and well–trimmed poultry. If you do eat beef, pick lean cuts.
  • Don’t char or overcook meat, poultry, or fish — it causes a buildup of carcinogens. Cutting off fat, which causes flames to flare on the grill, can help avoid charring; try gently sautéing, steaming, or braising these foods in liquid instead. Grilling vegetables is safe, however.

Workshop on how to be happy and healthy

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Inaugurating a two days workshop on Stress Management and “how to be happy and healthy”, Sh. Rakesh Mehta, State Election Commissioner, Delhi & Chandigarh said that “hostility, aggressive behavior and anger” are the new risk factors for heart diseases. One should learn to manage anger.

Padmashri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of Indi a, said that out of 100% of happiness, 90% is in one’s hands. 50% of it depends upon our past experiences which one can reinvent and 40% on the choices we make. Only 10% is circumstantial and not in our hands.

BK Sister Asha, Director ORC said that the only way to be happy is to consider oneself not as human body but as a pure soul. The word ‘human being’ consists of ‘human’ and ‘being’ and one often forgets that ‘being’.

BK Sister Geeta, Director ORC said that one of the ways of acquiring happiness is to indulge in non-violent communication and behaviour.

BK Sister Sapna, Senior Rajyoga said that whenever we need somebody, we should offer a non-materialistic gift like appreciation, prayer or smile.

Dr. Harish Gupta, President, DMA said that doctors should practice what they preach and make sure that they remain happy and healthy too.

Other organizations which participated in the event were IMA New Delhi Branch, IMA Janak Puri Branch, IMA North Zone Branch and IMA South Delhi Branch.

Observe cereal fast 80 days a year

Talking to a gathering of 500 health professional, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that potbelly obesity is the new epidemic of the society, which is linked to diabetes, high blood pressure and heart blockages. The main culprit is eating carbohydrates in general and in particular refined carbohydrates, everyday. Our Vedic science advocates that one should observe 80 fasts in a year and these should involve not eating cereals. Over a period of time, we have stopped observing fasts and have shifted from carbohydrates to refined carbohydrate–based cereals.

Dr. Aggarwal further said that the ancient Friday’s Santoshi Mata Ka Vrat was meant for child bearing women so that they do not end up with anemia and protein deficiency. The vrat or fast involves eating Gur and Chana in a fasting state. Iron is better observed in fasting state. People have stopped observing Santoshi Mata Ka Vrat and also have stopped eating Gur and chana leading to anemia epidemic in the society.

Dr. Aggarwal further said that Vedic science has been advocating that one month in a year one should sunbathe near the river, which should involve exposing the body before the sun before 10 am or after 4pm. Not observing these principles of nature has lead to epidemic of Vitamin D deficiency in the society.

Dr. Aggarwal was speaking at a workshop on “How to be happy and healthy’ being organized by Heart Care Foundation of India with Bramkumaris at Pataudi Road, Manesar.

BK Sister Asha, Director ORC said that one of the principles of being happy is to observe non–violent communication involving three Cs – Do not condemn! Do not complain! and Do not criticize!

BK Sister Geeta, Director ORC said that if it is not possible to change the situation, one should change his interpretation to that situation.

BK Sister Sapna, Senior Rajyoga said that after the age of 25, one cannot change an adult, one should change oneself.

BK Brij Mohan, Secretary General said that by being happy, it is possible to regress heart blockages.